HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR AF
Date: 5 �� SCANNED
-- -,. BY
St Lucie Coul
Building I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: To Select
"PROPOSED IMPROVEMENT -LOCATION
Address: 2130 W. Booth DR.
Legal Description: 21,35,40 W 1/2 OF W 1/2 NI
Property Tax ID #: 2421-331-0002-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
TION TO BE ACCEPTED,
Permit Nup'ii
rmit Applicati
MAY 01 2018
Lucie County, Permitting
/Commercial Residential
rom dropbox, click arrow at the end of line
Right Side: Left Side:
Lot No.
Block No.
I, DETAILED DESCRIPTION OF WORK:
TER -OF EXISNTING ROOF AND ISNTALL/5V METAL ROOF ?*CA "` S �sZ�- V" �YV"'- `'k
1-CONSTRUCTION INFORMATION:
Additional work to be nerformed/ under this permit— check all that apply:
EIHVAC 0 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumb g F]Sprinklers E Generator 21 Roof 6�12 Roof pitch
Total Sq. Ft of Construction: / �� S . Ft. of First Floor:
Cost of Construction: $ , 1 n1, Utilities:tSewer 0 Septic Building Height:
� L
OWN ERAESSEE:
CONTRACTOR:
Name Devon Morante /
Name: at
Address:2130 W. Booth DR
Company: TREASURE COAST ROOFING
City: Fort pierce State: F�
Address 1816 SW BILTMORE STREET
Zip Code: 34982 / Fax:
City: State: FL
Phone No.954-304-4601
Zip Code: 34984 Fax: 772-343-8358
E-Mail: l�
Phone No. 772-370-9770
Fill in fee simple Title/Holder on next page ( if different
E-Mail: TCROOFINGLLC@GMAIL.COM
from the Owner listed above)
State or County License: CCC1330653
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable I
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address: -Rf9CaC's�R
City: Fay Vk rag State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: '°"' 6ET
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counter makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association eules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association andlreview your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes I and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen booms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature of Owner Less ontractor as Agent for Owner
Signature of Contra O,-/Lickn,%4 Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLCUIE
COUNTY OFSTLUCIE
The forgoing instru ent wa acknowledged before me
�Qday
The oing instrum nt was (knowledge efore me
this _day of lZl� 20L I by
this of CL� ZO�by
BRIAN J MALONEY
B�RIAN J MALONEY
Name of person making statement
I Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identificatio
Type of Identificati
Produced
Produced
(Signature Nota Public- State of Florid L
(S ignatu#W NeVa Pub ic- State of Florida )
0RTBRUNKE Commission No. FF12243a B '-.Commission
is —State of Florida
No. FF122434:Not
Commission # GG 176972
My Comm. Expires May 12, 2022
E
�`��`otary P gateof Florida
s , ; Commissior, # G176972
`.��
fal Notary Assn,
„pct;' My
I ,;, COMM.MMExpires
e through gon N
uonla %!BryAssn.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TUR L
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I,
DATE
COMPLETED
tev. 8/2/17