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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^� te: Permit Number: - - RECEIVED Nam Building Permit Application JUN 2-R 7018 ning and Development Services Permitting Department frog and Code Regulation Division St. Lucie count.. 1 Virginia Avenue, Fort Pierce FL 34982 ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential MIT APPI ICATION FOR: To Select from dropbox, click arrow at the end of line POSED"IMPROVEMENT'LOCATION ass: 124 E ARBOR AVE Description: RIVER PARK UNIT 3 Pertv Tax ID #: 3419-515-0053-000-2 Plan Name: iect Name: Slell backs Front Back: Right Side: Left Side: DETAILED DESCRI'PTION OF WORK: m ,L TEAK OF EXISTING ROOF AND ISNTALL NEW TRI-BUILT FLAT ROOF CONSTROCTION INFORMATION':,., =jHVAC L_1 Gas Tank IElectric El Plumbing I Sq. Ft of Construction: 1826 of Construction: $ 8400 PerrniL —CnecK an apply: M Gas Piping _ Shutters Sprinklers F]Generator S . Ft. of First Floor: _ Utilities:] Sewer E]Septic Lot No.26 Block No. 5 QWindows/Doors © Roof ROO Roof pitch FIAT Building Height: ,OVI/N ER/LESSEE:` CONTRACTOR:, Nail' eCATINA BLACK Ad ress:124 E ARBOR AVE Cit 1. PORT ST LUCIE State:FL Name: O�YI a Company: TREASURE COAST ROOFING Address: 1816 SW BILTMORE STREET zip I Code: 34952 Fax: City: 5(— State: FL Phq a No. (?C/0 " 2 8 79 Zip Code: 34984 Fax: 772-343-8358 E- ail: Phone No. 772-370-9770 Fill n fee simple Title Holder on next page ( if different fro II the Owner listed above) E-Mail: TCROOFINGLLC@GMAIL.COM State or County License: CCC1330653 if va.ue of construction is $2500 or more, a RECORDED Notice of Commencement is required. ISUPPLEMENTALCONSTRUCTION ,LIEN.LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address:' Address: 1E City: PORT" *"ew State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: 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. certify that no work or installation has commenced prior to the issuance of a permit. S . Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure hich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such s ructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. Ili consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work i accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. Ti e following building permit applications are exempt from undergoing a full concurrency review: room additions, �i cessory 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 our Notice of Commencement. of Owner esse ont act as Agent for Owner Signature of Contractor/Li nse FkVer SIgnature TATE OF FLORIDA STATE OF FLORIDA COUNTY OFSTLCUIE COUNTY OF STLUCIE for g instrw3jent was acknowledged before me The forgoing instrument was acknowledged before me the his 'Z ay of 20_ by this day of 20_ by BRIAN J MALONEY BRIAN J MALONEY Name of person making statement Name of person making statement Known x Produced Identification Personally Known x OR Produced Identification �ersonally fype of Identification;7 Type of Identification Produced Produced (Signature of Pu ate of Florida) (Signature o otaryPublic- State of Florida ) Commission No. FF1224 :, ..,,,, RBRUNKE Notary ubiic—State of Florida Commission No. FF1 a4't;�A' '_ ,_+ w•^. Commission # GG 176972 Expires May 12. 2022 `. ' Notary public _ St te of E da • Commission ''`'� �T� Q My Comm. # GG 176972 ,�°P � My Co .• Bo "' Bondetl throughNational IVI a , 2022 REVIEWS FRO G SUPERVISOR PLANS VEGETATION OVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW W (DATE ,RECEIVED DATE ,COMPLETED Rev. 8/2/17