HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL PPL ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat Permit Number: �O O
SCANNED
By RECEIVED
�� Lucle County
Building Permit Application SE:P 0 7 2018
Plan ing and Development Services ST. Lucie County, Permitting
Built 'ng and Code Regulation Division
230 Virginia Avenue, Fort Pierce FL 34982
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
IT APPLICATION FOR: To Select from dropbox, click arrow at the end of line /Ar Roof
`PRO
DOSED 11VPROVEIVIENTLOCATION 5 .,_
Add rels: _' 9a3 G;oc k ojd fir•
Legal Description:
Props: Tax ID #: %�� - Ga3 '� C71�5 � C70 � Lot No. 19
Site PI n Name: Block No. �3
Proje Name:
Setba4s Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
['.CON �'TRUCTION ]NFORMATION:
iti : na workto e e orme under this permit— check a apply:
VAC Gas Tank ❑Gas Piping fn _ Shutters Q Windows/Doors
;lectric Plumbing Sprinklers E Generator Roof N r4 Roof pitch
Total S . Ft of Construction:
Cost o Construction: $
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
"OW'N�R LESSEE:
�CO.NTRACTOR:
Name
Address':
City:
Zip Co
Phone
E-Mail
Fill in f
from tl
T&4 �
Name: - G
Company: TREASURE COAST ROOFING
Address:.1816 SW BILTMORE STREET
City: 5 i � State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
E-Mail: TCROOFINGLLC@GMAIL.COM
State or County License: CCC1330653
! Zc,j ag J
I G'-' State:
e: 3 'W Fax:
o. .3c��" ?'�Uol 02 3
e simple Title Holder on next page ( If different
11 e Owner listed above)
If value Of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU i
PLEME'NTAKONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Nar �Ilie:
_
_
Name:
ress:
Adc
Address:
City
State:
City: State:
Zip:
Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
_
Na ie:
Name:
Address: 1616 SW BILTMORE STREET
Address:
City I
City:
Zip: Phone:
Zip: Phone:
I
OWN
ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi
that no work or installation has commenced prior to the issuance of a permit.
St. Lucre
which
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
're.
struct
Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con
lideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc
dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo
lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
access
J ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR
ING 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
a the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comrt�encin
work or recording our Notice of Commencement.
Sign
ure of Owne es Co ra or as Agent for Owner
Signature of Conti LAen Hoer
STATE
OF FLORIDA
STATE OF FLORIDA
COL
NTY OF STLCUIE
COUNTY OF STLUCIE
Thef
this
ing instrument was acknowledge# before me
day of 20\0 by
The forgoing instrument as acknowledged before me
this day of 20IT by
BRIJ
J MALONEY
BRIAN J MALONEY
Name of person m ' g statement
Name of person aking statement
Pers
o nally Known x O P oduced Identification
Personally Known x OR Produced Identification
Type
Hof Identification
Type of Identificati
Prod
ced
Produced
7kY
(Sign
ture of ary Pub ' - State of Florida)
(Signature ifNotary Public- State of Florida )
Com
ission No. FF122434 (Seal)
Commission No. FF122434 (Seal)
. +
OI€10^C2
ROBERT BRUNKE
RED/
EWS
FRO `"•
: ' �` ry�p �6:
L".2
�r /150
PLANS
• :
VEGETA 1-•, oF�
Commissior # G
1RrfFE'Ipires
3 176972
1V ^' ' VE
COUN
... __
REVIEWQ
,n., .
REVIE
'r yr• (Va7C'
\: ,.. .. .
DATJ
I 3
RECEIVED
,
DAT
COMPLETED
,
Rev. 8
/17