HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONF- .
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �01 SGANE® -Permit Number:
S$ L 00e®un$V. RECEIVED
..
Building Permit Applicati n MAY 16 2w
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 IM:.PROVEME''NT LOCATION:
Address. 3008 Eagles Nest Way. Port St Lucie.l FL. 34952
Legal Description: 3008 Eagles Nest Way EAGLES RETREAT AT SAVANNA CLUB. PHASE 2. (PB 43-21)
Property Tax ID #s 3424-702-0212-000-5 Lot No.
Site Plan Name: I Block No.
Project Name: Richard Goff I
Setbacks Front Back: i Right Side: Left Side:
I.
DETAILED>D,ESCRdPTION OF WORK:
Remove Existing Shingle 1 Maxim SF Polycarbonate Skylight
Install Soprema Resisto Lastobond Unde'rlayment 1 10" Solar Tube Kit
Install Extreme Metal 1" SnapMax 12" Panels Manufactured Home
2/12 Pitch.
CONSTRUCTION,I,N!FORMATION:
rtiona wor to e e orme un ert is permit —.checka apply:
F1HVAC ri Gas. Tarik. his
Piping _Shutters Windows/Doors
Electric 0 Plumbing ,Sprinklers . Generator Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 1800 S . Ft. of First Floor:
Cost of Construction: $. 15035.00 Utilities:Se-we r Septic Building Height: 13
OWNER%LESSEE.,: ;
,tiCONTRA
Name Richard Goff
Name: Joshua Schroeder
Company: Marzo Roofing Inc
Address: 3608 Eagles Nest Way
City: PortSt Lucie State: FL
Address: 861. A -SW Lakehurst Drive
Zip Code: 34952 Fax:
City: Port St Lucie State: FL
Phone No. 772-446-1122
Zip Code: 34983 Fax: 772-465-8829
E-Mail:
Fill in fee simple Title Holder on next page (if different
Phone No. 772-871-2489
E-Mail: marzoroofinginc@gmail.com
from the Owner listed above)
State or County License: CCC-1331207
If value: of construction is $2500 or more; a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL,CONSTRU IQ,. LIEN..-A�U WE ,W-ATI;ON:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: I Address:
City: State: I City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
— Not Ap
BONDING COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
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 restrictor pppr'hibit 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 re ts, perform the work
in accordance with the approve s, the Flori uilding Codes and St. Lucie County Ame me ts.
The following building per appli at, re exem t from undergoing a full concurren revie .room additi ns,
accessory structures, s mming p ols, ences, wall , signs, screen rooms and accesso uses to pother non esiden ial use
WARNING TO NER: Yo r fa lure to Re ord a (Notice of Commence nt may r ult in yo payin twice for
impro l e s to your pr petty. of a of Commencement mu a recor d and p sted o the jobsite
before th irst inspect' n. If you Int o obtain financing, co ult with I der or an attor ey before
comm cin work o ecordin o r Notic ofi Commenceme
i e of Contractor/License Holder
F1at'ure of Owner/Lessee/Contractor as Agent for OWn-er
STATE OF FLO%PA
STATE OF FLORIDA
COUNTY OF
COUNTY OF \-_), 4
The forming instru ent was acknowledged before me
by I
The forgoing instrument was acknowledged before me
this day of 20 by
this day of 20
i
_
I
1 I
(Name of person acknowledging)
(Na of person acknowledging )
( ignature of Notary Public- State of Florida )
-State
Signature of Notary of Florida)
Personally Known OR Produced Identification
Personal) Known OR Produced Identification
y
ype of Ide if' a 'o P o c
dLISA
Type of Identification Produced
LISA MARIE MONTELEONE
.. zy, MARIE MON
;'�Y'p�•.,,
����-:� e_ $p�r�jPublic-State of Florida
commission No. ( 0 GG 190497
ommissio a:` -Stat
s• t Commission#G�Os�Commission 7c;Ipl-
"%,r4a�Comm.
Expires Feb 27,2022�"'OFFM%
one roug a �
Revised 07/ 15/2014
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