HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR -APPLICATION TO. BE ACCEPTED G '\ 1
Date: i Permit Number:]
Building Permit Applicati n OCT 2018
Planning and Development Services S. Lucle
Building and Code Regulation Division CoUngV� P41rMittigg
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
SeANNE
-PROPOSED IMPROVEMENT'LOCATION:
Address: QZ Coj)arr)6 C t. St Lucie Countv
Legal Description: - �J /i I y rW!zms
Property Tax ID #: I SbG- 1 k, 7 6�)b I- =_0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
1,%-D"ETAILED-DESC',-R'IPTIONOFWORK:
e_a.e zit Cook and walk ow
CONSTRUCTION INFORMATION:
Additional work to Bee orme under this permit - check a apply:
�HVI C ]GasTank ❑Gas Piping _ Shutters Q Windows/Doors
Electric El Plumbing Sprinklers Generator ® Roof J� /� Roof pitch
Total Sq. Ft of Construction:S . Ft. of First Floor:
Cost of Construction: $ -% Soo Utilities.. Sewer Septic Building Height:
OWNERAESSEE:,
CONTRACTOR:
Name
Address:
City:
Zip Code:
Phone No.
E-Mail:
Fill in fee
from the
50apriQ 6k;nnkr
Name: I -C'
ntj
j,':NC `13 coboYnd Ch
Company: TREASURE COAST ROOFI
Address: 1816 SW BILTMORE STREET
City: '1�)o `J�C. LVGI� State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
E-Mail: TCROOFINGLLC@GMAIL.COM
State or County License: CCC1330653
rQ(4 )'�. I&C'p,, State: 1
Fax:
610 -Is C_/5
simple Title Holder on next page (if different
Owner listed above)
If value of, construction is $2500 or more, a RECORDED Notice of Commencement is required.
M�
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: I Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: I
BONDING COMPANY: Not Applicable
Name:
Address: 1816 SW BILTMORE STREET
Address:
City: !
City:
Zip: Phone:
Zip: Phone:
I
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 inl 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 accordace 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
commencing work or recording your Notice of Commencement.
Signature of Own ssee/Con or as Agent for Owner
Signature o ntractor/ "cen
Hold
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLCUIE
COUNTY OF STLUCIE
The for oing instrumentw�aj acknowledged before me
/ 'day
The for ing instrument w
this a day of
acknowledged before me
20
this of /9 20J&by
y
BRIAN J MALONEY
BRIAN J MALONEY
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Public State of Florida(Signature of No ry Public- a o rl��l1ggttppryry
(Borah J Cacciatore
My Commission GG 148734
( gnature of Notary ublic- Sta o�{r,�;ida j
'',, Notary Public State of Flori
Commission N (its 10111/2021
C mission N
f(�l?prah J Caccietore
mission GG 1487
a Expires 10/11/2021
L
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE j
COMPLETED
tev.8/2/17