HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONn
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ALL A PLICABLE INFO MUST BE COMPLETED FOR APPLICATION.TO BE ACCEPTED
Dati 0' �� ����® Permit Number: ?I
--- BY
• . were colunty RECEIVED
Building Permit Application JUL 16 2o.t8
Plan I ing and Development Services
Buil �ng and Code Regulatio"n Division ST. Lucie County, POftt'1Itting
23001Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578 Commercial- Residential x
PER `l IT APPLICATION FOR: Roof
III W�-c �'+�� W �r V, S k '\
PRO`'OSfD IMPROVEMENTF LOCATI-0, A
Add
405 Gregory. Street,', Ft Pierce, .FL 34982
cription: Indian River Estates Unit-04- BLK 37 LOT 17 (MAP 34/02N) OR 445-1409: 817-428: 2780-1033)
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Prop III Tax ID #: 3402-605-0107-000-0
Site lan Name:
Projel,t Name: Jeffrey D Jacobs
ont Back: Right.Side: Setbl I cks Fr
DETAILED DESCRIPTION OF WORK
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RemII ve Existing Shingle
Instdil Polystick MTS Underlayment
Inst11il Extreme Metal 26 GA 1" SnapMax
5/12110itch
T
NSTRUCTION�IN;F6RM0-0,
Iona work. to e e orme under
1HVAG .GaS:Tank .
this permit — c ec
El Gas:Piping
Lectric E
Plumbing
F]Spririklers
�I LSq. Ft of Construction: 4500
till f Construction: $ 29950.00
Utiliti
Lot No. 17
Block No. 37
Left Side:
Re lace ' s� I ISk 34n - T'&
Aoou_ + = spy 11
.et.j
all apply:
Shutters Windows/Doors
0 Generator Roof 5/12 Roof pitch
S . Ft. of First Floor;
es:Sewer Septic. Building Height: 13
OWNER%LESSEE
CONTRACTOR
Na gill
Adc1
City
Jeffrey D Jacobs
Name: Joshua Schroeder
Company: Marzo Roofing'lnc
. p. Y:
Address: 861. A -SW Lakehurst Drive
less:405 Gregory Street
Ft Pierce - . State: FL-
Zip
Pho
E- hail:,
Fill i
fro II"
l ode: 34982 Fax:.
a No.'772-971-7203
City: Port .St Lucie State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. ' 772-871-2489
E-Mail: marzoroofinginc@gmail:com
State or County License: CCC-1331207
fee simpie Title Holder on next page ( if different
the Owner listed above)
If v 11, a of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP EMENTEAL-CONSTRUCTION.
JEN. LAW IN41:0 ta4Tto1V
DESIGNER!
Name:
Address:
City:
Zip:
ENGINEER: _ Not Applicable
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MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
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City: State:
Zip: Phone:
I! State:
II Phone:
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FEE SIMPLE
Name: IIII
Address: If
City: IIII
Zip: III
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TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
!
Address:
City:
Phone:
I
Zip: Phone:
I certify th iI no work or installation has commenced prior to the issuance of a permit.
St. Lucie Co�inty makes no representation that is granting a Permit will authorize the permit holder to build the subject structure
sthucturenPlIlIllIeasecconsult with your Home Owners Association and review your deed for any restrictions tions which m y apply prohibit such
In considertion of the granting of this requested permit, I do hereby agree that I will, in all resp ts, perform the work
in accords i"�i a with the approve s, the Flori uilding Codes and St. Lucie County A�ke�e
The follow) g building per appli ation re exem t from undergoing a full concurren additi ns,accessory ructures, s mming p ols, ences, wall , signs, screen rooms and accesso ur non esiden ial use
WARNIN TO NER: Yo r fa lure to Re ord a Notice of Commence nt mao payin twice for
improve e s to your pr perty. of a of Commencement mu a recsted o the jobsite
before th' irst-inspect' n. If you int o obtain financing, co ult with I attor ey before
Comm ding work o ecordin o r Notic of Co--------.
S .
.Rature'of Owner/Lessee/Contractor as Agent for Owner I e of Contractor/License Holder
OIII FLOf�I[�A STATE OF FLORIDA-
STATE
STATE f OF d �-C�iC f COUNTY OFCOUNT
The f g ng inst en was acknowledged ore me The forgoing in ru ent was acknowledged before me
this ay of 20 f by this /� day of 20 �?l by
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(NaFeolf " erson acknowledging)(N me of person acknowledging), I�
( gnatu(,a of Notary Pub ' - State of Florida )
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Personal i Known OR Produced Identification
Type of Ientification Produced
L�ISLAMARIEMONTELEONE
commis l�onNo. (S9Etlr)/public -State of Florida
�+ Commisslon 4 GG 190497
`•'. nc cry" ' My Lamm. Expires Feb 27. 202i
07/15/2014
REVIE
S
FRONT
ZONING
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COUNTER
REVIEW
DATE
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COMPLETE
INITIAL&
Wature of Notary Public- State of Florida)
Personally Known ICZ OR Produced Identification
ifte of Ide if' a 'oQ, P o aced _
SUPERVISOR I PLANS
REVIEW REVIEW
;•;�� ; , `:., LISA MARIE q+MONTEL•6Q S �-:' •'t? �`- Notary Puhlic - State 41I F ail
Commission # GG 10649i
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