HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED0 I
Date: .• I Q Permit Number:
-�l}---�'�`NN��y RECEIVED
BY
• _ St Lucie County MAY 0 3 2018
Building Permit Application
Planning and Development Services ST, W40 county, rormittinq
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CO�mmercial Residential YES
PERMIT APPLICATION FOR: iROOf
PROPOSED' IMPROVEMENT'LOCATION: ` y
Address: 11975 TWIN CREEK DR
Legal Description: LOT 16 B ( OR 442-2741)
Property Tax ID #: 2333-601-09f 000-6
Site Plan Name:
Prbject Name:
Setbacks Front Back: Right
.DETAILED'DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF DOWN TO PLYWOOD
INSTALL NEW PEEL N STICK UNDERLAYMENT
INSTALL 5V METAL ROOF
:CONSTRUCTION INFORMATION:
Additional wor to e e or ne un ert is permit -c
OHVAC Gas Tank ❑Gas Piping
11 Electric 0 Plumbing oSprinklers
Total Sq. Ft of Construction: 3,598
Cost of Construction: $ 21,000.00 Uti
OWN ERAESSEE':
Name d /Lf kl '11 a nn-3
Address: l l 9 7-'5— Z/riLA/ G'�e eK �2
City: Pr ,9;eZ State:
FL
Zip Code: 34945 Fax:
Phone No.772-216-5799
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Lot No.16 B
Block No.
Left Side:
a1.,r. y .
Shutters Q Windows/Doors
Generator Roof 5/12
Ft. of First Floor: —
ISewer 11 Septic
CONTRACTOR:
Building Height:
Name: Q iuiv .�-�
Compa . TREASURE COAST 13100FING
Roof pitch
City: / D
S'-/-� z lit-e o State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
r-Mail- TCROOFINGLLC@GMAIL.COM
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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:11 975 TWIN CREEK DR
Address:
City: State:
City: State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: I
City:
Zip: Phone:
Zip: Phone: I
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 County 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 rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, III do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes 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 rooms 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 obtaip financing, consult with lender or an attorney before
commencing.wgr,k or recording our Notice of Commencement.
Signature of caner/ ess e/C c or as Agent for Owner
Sign ure o ontract icen a Hol er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLCUIE
COUNTY OF STLUCIE
The f r oing instru ent w acknowled a efore me
� day i2 0 ZO�by
The fcp ing instrum t was cknowled d before me
this ay of < c by
this of
BRIAN J MALONEY
BRIAN J MALONEY
Name of person aking statement
Name of pe n making statement
Personally Known x 0 Produced Identification
Personally Know OR Produced Identification
Type of Identificati
Type of Identif' Ion
Produced
Produced
(Signature No P lic- State of Florida)
(Signs re o otary Public- State of Florida)
Commission No. FF122434 (Seal) I
Commission No. FF122434 (Seal)
Y i'.. ROBERTBRUNKE
Notary Public —State of Florida
:'ot' Y?�'''- ROBERTSRU
`,�: ` + ^ Notary Public NKE
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Rev. 8/2/17