HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date? Permit Number:
RECEIVED `�
Building Permit Application AUG 9 7 gnio
Plan ing and Development Services
Buil ing and Code Regulation Division
230(i Virginia Avenue, Fort Pierce FL 34982
Pho'e: (772) 462-1553 Fax: (772) 462-1578 Commercial
ST. Lucie County, Permitting
Residential C7_
PERMIT
APPLICATION FOR: Roof
`°PROPOS'EE)lM-PROVEMENT'LOCATTON
;._;: v
Address: }' aZ)4 06-
I �
Legal escription: t i , 3. S , V6 to i/a Or w Ild Or' ti. l5/
Prope4yTax ID #: A4 `L ( ' 331- Oy n 1— 0o0 - 0 Lot No.
Site PI'an Name: Block No.
i
Project Name:
1
Setbacks Front Back: Right Side: Left Side:
D'ETAILEU DESCRIPTION OF WORK:
insIt rLui
ice. r'4�
CONSTRUCTION. INFORMATION:
Addiffirnal work to e nprtormed under tispermit—check all flat apply:
I
VAC 0 Gas Tank Gas Piping _ Shutters Q Windows/Doors
lectric 0 Plumbing Sprinklers Generator Roof S f Roof pitch
I
Total Sq. Ft of Construction: 300
i
Cost �f Construction: $
!9C;0.Q...?
S Ft. of First Floor: _
Utilities:nSewer Septic
Building Height:
,,OWNER/LESSEE:
CONTRACTOR:
Namel] U -^ 4 05 1 G
Name:
Addrels:yI) SL i4,=a3 k,5Si'L,�33 J e,
Company: TREASURE COAST ROOFING
City: 'AL S- • G,Jc, k, State: Ft,
Address: 1816tt SW BILTMORE STREET
Zip Colde: 34/ 18 �� Fax:
City: "o,! -t St . ZJ (J 4., State: FL
�
PhonE No. Q 6�(' 30y — CId l
Zip Code: 34984 Fax: 772-343-8358
E-Mail:
Phone No. 772-370-9770
Fill in fee simple Title Holder on next page (if different
E-Mail: TCROOFINGLLC @GMAIL.COM
from the Owner listed above)
State or County License: CCC1330653
If valuelof construction is $2500 or more, a RECORDED Notice of Commencement is required.
:r
SUPpLEMENTAL'CONSTRUCTION
LIEN LAW INFORMATION
DESIGNER/ENGINEER:
_
Not Applicable
MORTGAGE COMPANY: Not Applicable
Nan
_
Name:
Address:
Address:
city:i�
State:
City: State:
Zip:
91 Phone
II
Zip: Phone:
FEE
IMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
_
Name:
Address:
1816 SW BILTMORE STREET
Address:
City:
City:
Zip:
1111 Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certif , that no work or installation has commenced prior to the issuance of a permit.
St. Luci II 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 deration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accocidance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory 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
impro� ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor" the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signature
ontr cas Agent for Owner
of Owner/ Les to
Signature of Contractocen older
r t
STATE
OF FLORIDA
STATE OF FLORIDA
COUNTY
OF ST LCUIE
I
COUNTY OF sr LUCIE
The for
om instru ent was acknowled ed efore me
g g
0day - f
The forgoing Instru ent was acknowled ed efore me
g g
this 00 day of 20 by
this
of j,) 20J by
BRIA
l J MALONEY
BRIAN J MALONEY
I Name of person maki statement
Name of person making statement
Persc
iInally Known x r uced Identification
Personally Known x OR Produced Identification
Type
',I f Identification
Type of Identification
Produced
Produced
�I
(Signature
o t blic- State of Florida)
(Signature of P lic- State of Florida )
�FFI'
Com
II issio O. FF122434
Commissio NO. 2434 (Seal)
ROBERTBRUNK
_ • * �� =; Notary Public — State of
�, �, • . 1t 1: ° - Norte R�BERT BRi �.,�_
REVIEWS
FRONT
� ` c
o R , ?d�; 7J2.2WE
S
VEGETATIO
a�11 A U y C mt
ed ""0y
,X tateofgoRdiCOUNTER
R VI
W
REVIEW
Na a M022
DATE
RECEIVED
DATE'
COMPLETED
Rev. 8/2/17