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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI ALL APPLICABLE INFO MUST BE COMPLETE Date: a Bui Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 1 Permit Nu ber: / 0 - / OCT 0 3 2018 Permitting Der,DEPOSI OILY" STWC 'COU BO ..p difig Perin itApp)1cptic In OFISSICII�ERS . ING ING24i5: Commercial Residential_ PERMIT APPLICATION FOR: Roof / SCANNED PROPOSE.D'IIVIPROVEIVIENT LOCATION: Address: 'r� P' • 1 Legal Description: C, sA'k_e c.��d ice,-� t) 1 Property Tax ID #: 13 a ( /ate c701Y — c7 a a - 5 Lot No. Qq Site Plan Name: Block No. �5_ Project Name: Setbacks Front Back: Right Side: Left Side: i DETAILED DESCRIPTION ,OF WORK: F —7Zc,.i 'a-f e.xi54 115 CIA¢ Ia a�_ o�J IhSisll AzW T ^16 5h;n 'e CONSTRUCTION INFORMATION: Additional work to e nerforme -under this permit - check all apply: li VAC 0 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors 0 ; Electric 0 Plumbing Sprinklers E Generator Roof -- �--_41 Roof pitch Total Sq. Ft of Construction: 3(ti S� of First Floor: Cost of !construction: $ �S y 5d Utilities: Sewer Septic Building Height: OWNER/LESSEE: 'I CONTRACTOR: NameA M• V- Name: Y 4.;4r a nm Address: I a 7>0e;5 r. City: : �b r `b State: FG Zip Code: Fax: Company: TREASURE COAST ROOFING Address: 1816 SW BILTMORE STREET City: c]R, State: FL Phone No. Zip Code: 34984 Fax: 772-343-8358 . E-Mail: Phone No. 772-370-9770 E-Mail: TCROOFINGLLC@GMAIL.COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License: CCC1330653 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not App Name:_ Address: City: Zip: Phone State: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: - State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: 1616 SW BILTMORE STREET Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie 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 accordance 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 improvements 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 rommPnring work or rpcordinLy vour Notice of Commencement. Signature of Owner/ Lesse ntr or s Agent for Owner Signature of Contractor/LWse er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLCUIE COUNTY OF STLUCIE The f r g instrument wa acknowledge efore me The r o'ng instrument was a knowledg d fore me this day of 20 by this day of 20�y BRIAN J MALONEY BRIAN J MALONEY Name of person making statement Name of person making statement O Personally Known x roduced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Nota122asa li tate of Florida) (Signature o ou Ic- State of Florida ) ta Commission No. F (Seal) PQPtrPTRPIINVr Commission No. FF122434 (Seal) Notary Public - State of Florida = _°;� Notary Public- FR Z_©NOission (90VR PLANS VEGETATI NL ATURTMsion :6offREVIEWS E COU T E r hNtlona�oa s NNii? 'REVIEW REVIEW ,- eWm.ExpirFlorida] DATE RECEIVED DATE COMPLETED O Rev.8/2/17