HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-r,
ALL APPLICABLE INFO MUSTBECOMPLETED FOR APPLICATION TO BE ACCEPTED
/ ' / o �
Date: &' STSCANNED Permit Number: aw,
!BY
5;-=', 35 M 5-;M K.;
St. Lude Coft [RrmLE1V"`U
Building Permit Application JUL 16 2018
Plannig and Development Services
Building and Code Regulation Division Permittinrl Deartment
2300 VJrginia Avenue, Fort Pierce FL 34982
Phoni. (772) 462-1553 Fax: (772) 462-1578 Commercial Lest%nty, FL
PERT
}IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line sv�
P`ROP.OSED
IIV�PROVEMENI"� LOCATIQN. � " :;.
Addri
Legal
244 SE PRIMA VISTA
ption: RIVER PARK UNIT 5
Prope Tax ID #: 3419-540-0061-000-9
Site Pla I Name:
Project Name:
Setbac s Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION OFWORK:
TEAR 01 EXISTING ROOF, INSTALL NEW TAMKO SINGLE ROOF AND NEW FLAT ROOF O t11L1
Lot No.7
Block No. 45
CONSTRUCTION
INFORMATiON:
Additiona
❑HUAC
work to be nertormed under this permit— check
Gas Tank ❑Gas Piping
all apply:
In Shutters
a Windows/Doors
❑E
actric ❑ Plumbing
❑Sprinklers
❑ Generator
Z Roof Roof pitch
Total S
Ft of Construction: 4273
S . Ft. of First Floor:
Cost of
onstruction: $ 10,000
Utilities:�❑Sewer ❑Septic
Building Height:
.OWN
R/LESSEE:
'CONTRACTOR: .
Name
Addres
City: P
Zip Co
Phone
E-Mail:
Fill in f�
from thL
�X ROBINSON
Name: 1z
SICl
� 244 SE PRIMA VISTA
DIRT ST. LUCIE State: FL
?: 34983 Fax:
c, o. -7 a 7 9 J 20 1
Company: TREASURE COAST ROOFING
Address: 1816 SW BILTMORE STREET
City: Q State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
E-Mail: TCROOFINGLLC@GMAIL.COM
State or County License: CCC1330653
simple Title Holder on next page ( if different
Owner listed above)
If value , f construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN'LAW IN
DESIGNER/ENGINEER:
Nam
Address:
City:
Zip:
_ Not Applicable
:+-
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 2
City: State:
Zip: Phone:
State:
Phone
I
FEE SIMPLE
Nam
Address:
city:
Zip:
TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
1616 SW BILTMORE STREET
I Phone:
Zip: Phone:
OWN9R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi N that no work or installation has commenced prior to the issuance of a permit.
St. Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons Jeration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco fiance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foil Mowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessc ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARF ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improFements 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
cfmmencine work or recording vour Notice of Commencement.
Signa ure O e Co r ctor as Agent for Owner
Signature o ont Li a Hol
STA E OF FLORIDA
STATE OF FLORIDA
COU TY OF STLCUIE
COUNTY OF STLUCIE
The f g instr �t was acknowledged }afore me
this�ay of 20 by
The ng instr�4e t was acknowledged�efore me
this day of 20i by
BRIA J MALONEY
BRIAN J MALONEY
Name of person aking statement
Name ofZpersm,aking statement
Pers
ally Known x R Produced Identification
Personally KnownOR Produced Identification
Type
f Identificatio
Type of Identifica
Prod
ced
a,
Produced
Ild
(Sign
1 ture of tary Public- State of Florida)
�ission
(Signature o otary Public- State of Florida)
Com
No. FF12z 34
Commission NO. FF122434 (Seal)
VP �®��� ROBERT BRUNKE
; Notar Public - State of Florida
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DAT
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DATE
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Rev. 8h117