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ALL APPLICABLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S�� U SCANNED Permit Number:
BY
St Lucie County ����iv���l
Building Permit Applicatio MA'S 3 ?013
Planning and Development Services
Building and Code Regulation Division ST Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 900 Elyse Cir. Port St Lucie, FL 34952
Legal Description: RIVER'S EDGE BLK C LOT 1 AND E 9 FT LOT 2
Property Tax ID #: 3416-801-0021-000-8 Lot No.1 & 2
Site Plan Name: Block No. C
Proiect Name: Zanello Rd
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Remove existing the roofing system and install an estate s the roofing system over self adhered TU
Plus underlayment
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit —check
11HVAC Gas Tank Gas Piping
all
apply:
Shutters
Q Windows/Doors
11 Electric 0 Plumbing
Sprinklers
_
Generator
R1 Roof 6 12 Roof pitch
Total Sq. Ft of Construction: 5200
S . Ft. of First Floor: 2562
Cost of Construction: $ 33650
Utilities:i
Sewer
Septic
Building Height: 12
OWNER/LESSEE:
CONTRACTOR:
Name Gary & Dolores zanello
Name: Icar o Lara
Address:900 Elyse Ir
Company: Elite RoofingSolutionsInc
812 SE
Address:34952 LincolnAve
City: PO UCIe
State: _
Stua FL
Zip Code: Fax:
City: State:
Phone No. % 7 2 3
34994
Zip Code: Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail:
CCU 1330337
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
-Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
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 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, I 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 obtain financing, consult with lender or an attorney before
commencing work or recording your Notice'of Commencement.
r as Agent for Owner
STATE OF FLORI
COUNTY OF 19
The forgoing instrument was acknowledged before me
this/ of / 20 by
�/ wp (D Larz4,
Name of person making statement
Personally Known X OR Produced Identification
Type of ldentificatiW
Produced
d4�W'4
(Signs ure of Notary Public- State of Florida )
Theresa Anne Fasano
Commission � $ NOTARY PUBLIC (Seal)
al
o STATE OF FLOFUDA
Comm# GG126275
STATE OF FLORIDA �
COUNTY OF
The for ' instrument was acknowledged before me
this 8 d61&f__W'4
ay of M" , 20 /8 by
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
ZJ'AZ'16"-"
ignatu a of Notary Public- State of Florida )
�a�SpRyAss Theresa Anne Fasano
Commission N4 �� NOTARY PUBLIOeal)
,STATE OF FLORIDA
Comm# GG126275
c
19 Expires
7/19/2021
x
A. es /19/2021
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Rev. 8/2/17