HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1,6 14 Permit Number: 1�1 - !nH 31
RECEIVED - -
Lz
Building Permit Application OCT 19 2018
Planning and Development Services ST. Lucie Couii f'0f`1 1MIn0
Building and Code Regulation Division A.._. -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential JZ
PERMIT APPLICATION FOR: To Select from dropbok, click arrow at the end of lineobf-
'PRO POSED-IMPROVEMENT`LOCATION:`
Address: J S L-J /_V C.C,r-o n'-. SCANNED
Legal Description: 2 i ve,- Ctr- kBy
Lucie County
Property Tax ID #: ��"�"9-• SC/a .- p3�3 '" dO O _6 Lot No.C, C
Site Plan Name: Block No. 6Y
Project Name:
Setbacks Front Back: Right Side: Left Side:
.DETAILED'DESCRIPTION OF'WORK:
-�c,a� 8xi�sfir,�aair a.+�j %shall, re.•U S✓ rn¢.�o►I
CQNSTR'UCTION INFORMATION:
Additional wor to je ne orme under this permit- check a apply:
�HVAC Gas Tank Gas Piping Shutters a Windows/Doors
L_J _
Electric 0 Plumbing Sprinklers Generator Roof s / Roof pitch
Total Sq. Ft of Construction: 1614 6 S . Ft. of First Floor:
Cost of Construction: $ �d, 6a G Utilities:1Sewer Septic Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name SQ4116-C&
Name: Mq 2
Address: aka l sv ` ex't oa -bir•
Company: TREASURE COAST ROOFAG
Address: 1816 SW BILTMORE STREET
City: S4. L,UG t, State: R,
City: o'�� S'�y�'/ 0- State: FL
Zip Code: q7 S .3 Fax:
Phone No. %7J— -2 CO U
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 value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
-SUP CONSTRUCTIONIIEN LAW INFORMATION
DESIGNERJENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City. State:
Zip; Phone Zip: Phone:
FEE1SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 1816 SW BILTMORE STREET
City:
Zip:, Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no wor '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
commenciniz work or recording our Notice of Commencement.
Signature of Own es
a ontr as Agent for Owner
Signature of Contra'
iqfn Hol
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLCUIE
COUNTY OF STLUCIE
The f ng instrument wa acknowledged efore me
by
The r ing instrume
this mi day of
wliedge�dbefore me
20ff by
this; day of
20JJ
BRIAN J MALONEY
BRIAN J MALONEY
Name of personmaki g statement
Name of person
making statement
Personally Known x
Produced Identification
Personally Known x
R Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of No li - S at of Florida)
(Signature of ry
lic- State of Florida )
COmmI5510n N FF122434
(Seal)
Commission No. FF122434 (Seal)
ROBERTBRUNKE
o� public — State of Florida
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DATE
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Rev.8/2/17