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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n�f Date: it SCANNED Permit Number: O / a� BY 8, a. Lucie County Building Permit Application�� Plannf pg and Development Services �r i Build g and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Pho 'e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X_ PERM,' IT APPLICATION FOR: Roof "PROP_OSEDVPROVEMENT : CATI'ON . AddrellIs: �3 �� Cic�O i C'��oj�; / D, Legal ; escription: (0 J z t an e4 re) '3 Prop htyTaxlD#: ac�3- Sal - Oc�d3- aoa -3 Lot No. Site P Ilan Name: Block No. Proje It Name: Setb cks Front Back: Right Side: Left Side: i DET�ILED DESCRIPTION OF'WORK: �I�a.✓ o �E' .G x'S�1n� �/A � Geoa-E anc� r�S�G lI nGw F��i� /evd-� 00 STRUCTIOU INFORMATION:. o Add,tionalwor1FtobPnPrtormed under this permit —check all that apply: I HVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors l Electric 0 Plumbing Sprinklers Generator Roof ti Roof pitch FlaT,eo� Tot Sq. Ft of Construction: IC12Ya2GJ S . Ft. of First Floor: i Cos 'of Construction: $ �1� Soa Utilities: Sewer Septic Building Height: I O, ',NER/LESS'EE: CONTRACTOR: Na e 5c.5 f'P LLC. Name: Y1 n pto o Ad ess:�, �,� r�")/ I do�a ih . Company: TREASURE COAST ROOMNd Cit i t.rc a. State: F� Addre 1816 SW BILTMORE STREET Ziplode: 14 9K 5S Fax: City: L,U Gi V State: FL �t-4, Ph he No. c/$ 6 Y9 g Zip Code: 34984 Fax: 772-343-8358 E- it ail: Phone No. 772-370-9770 Fill in fee simple Title Holder on next page ( if different E-Mail: TCROOFINGLLC@GMAIL.COM fro the Owner listed above) State or County License: CCC1330653 If v4lue 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: Addess: Address: City:il State: City: State: Zip: I Phone Zip: Phone: FEE Nan Add Zip: PLE TITLE HOLDER: _ Not Applicable 1816 SW BILTMORE STREET Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certi II that no work or installation has commenced prior to the issuance of a permit. St. Luc le 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 accTIrdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The f4lowing building permit applications are exempt from undergoing a full concurrency review: room additions, accesory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WAING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impr vements to your property. A Notice of Commencement must be recorded and posted on the jobsite befo �e the first inspection. If you intend to obtain financing, consult with lender or an attorney before com encing work or recording our Notice of Commencement. III Z3_0:�D 1 ;�3_�� Sig ature of Owner/ Lessee/Con or as Agent for Owner Signature of Contractor/Lice se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF sT LCUE COUNTY OF sTLUCIE Thgl for�gqing instri.Ren� was acknowledge efore me thisj�Ltiay of �2014by BRIM, N J MALONEY Name of person m7ing statement Personally Known x R 4oduced Identification Tvp.e of Identification // ature of Florida The forgg,oing inst�en was acknowledged efore me this I L day of �� 20 by BRIAN J MALONEY Name of person making statement Personally KnownA.xOR Produced Identification Type of Identificat (Signature $N6tary Public- State of Florida ) Co " ;�PJ ERTBRUNKE mission NO. FF122434 Doti {S No Commission NO. FF122434 • �.: _. ary lic — State of Florida Commissior GG 176972 ; os* �' _ _; �'t1:=-'_ ROBE T BRUNKE Notary Public— State of Flonda My Comm. Expires May 12.2022 = :��• Commissior GG i 76972 . OF F:� �: III Bonded;hrou aY 2 i I;IIRVIS VIEWS NT Z SPLANS FV a'o COUNTER TER REVIEW REVIEWRVISOR REVIEW EV EWO REVIEW REVIEW IVED COMPLETED Rev,'18/2/17