HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO -BE ACCEPTED
"44,Date:
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1 �
Permit Number: �4
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i Building Permit Application SCANNED
Planning and Development Services - 'BY
Building and Code Regulation Division
St Lucie County
2300 Virginia Aven
nue, Fort Pierce FL 34982 y
Phone: (772) 462-15.53 Fax:'(772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof .
PR}OPOSEDgIMP"ROVEMENT$LO;GA`TIQ:Na
Address: 3239 Daniels Street, Ft Pierce FL 34981
Legal Description: White City, S/D 05 36 40 FROM :NW COR OF LOT 99 RUN S 530 FT, .165 FT TO POB, TH CONT E .
128.5 FT (M �1P 34/05S)
Property Tax ID #: 3403-502-0185-000-7 Lot No. 99
Site Plan Name: Block No.
Project Name: Mary H Rogers
Setbacks Front Back: Right Side: Left Side:,
Remove Existing Shingle
Install PolyFresko on Flat'Roof 7 SQ
Install Poly S�tick Ml'S
Install Extreme Metal 5V 26 Gauge (Exposed Screws)
Pitch 4/12
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CONSTR+UCTION�INF®RMATI
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Additionaljw0r" to e e . orme
under this permit — c ec a
apply:
�HVAC
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Gas Tank
❑Gas Piping
_Shutters
Q Windows/Doors
Electric 0 Plumbing
- Generator
g Roof 4/12 Roof -pitch
Total Sq. Ft of Construction: 1000
S . Ft. of First Floor:
Cost of Construction: $ 10500.00
I
utilities..
ElSeptic,
Building Height: 13
01NNERESSEE .Y' t
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+777
CO N; m,TsRA $"FOR R
Name Mary Rogers
Name: Joshua Schroeder .
Address: 3239 ,Daniels Street
Company: Marzo Roofing Inc.
City: Ft Pierce
State: FL
Address: 861 A -SW Lakehurst Drive
Zip Code: 34981 Fax:
City: Port St Lucie State: FL
Phone No. 772,464-0289
Zip Code: 34983 Fax: 772-465-8829
E-Mail:
Phone No. 772-871-2489
E-Mail: marzoroofinginc@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CCC-1331207
If value of constiuction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEt ENTAL-CflNS�'RUCTI'E3°t :I1, LA 1l t [FQ # fil; t ,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: , Not Applicable
Name:
Name:
Address.
Address:
City: State:
City: State:
Zip: Phone:
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: , Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: I
Address:
City:
City:
Zip:
Phone:
I
Zip: Phone:
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 contlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict orprohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may
apply.
pIy.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all resp ts, perform the work
in accordance with the approve s, the Flori uilding Codes and St. Lucie County Ame me its.
The following building per appli ation re exem t from undergoing a full concurren revie . room addit' ns,
accessory structureIs, s mming p ols, ences, wall , signs, screen rooms and accesso uses to nother non eside ial use
WARNING TO NER: Yo r fa lure to Re ord a Notice of Commence nt may r ult in yo payin twice for
improveme s to your pr perty. of a of Commencement mu a recor d and p sted o the jobsite
before th irst inspect' n. If you Int o obtain financing, co ult with I der or an attor ey before
Comm cin wgrk o ecordin o r otic of Commenceme
s
RIAUre of Owner/Lessee/Contractor as Agent for Owner Silg of Contractor/License Holder
STATE OF FLO (I� STATE OF FLORIDA
COUNTY OF � � I1.tee COUNTY OF
The forgoing instr ment was,acknowledged before me The forgoing instrument was ackn"owledged before me
this ' day of d ery eY 20 )_S�by this day of 20 by
.521� �C Yl LA q y X) rn 68g,
�� � l� i�� `�1�o-P �►
(Name of person acknowledging) (Nam of person acknowledging)
AAA� 0AkJnJJ
eSn"atureof Notary Pub' -State of Florida )
ature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known OR Produced Identification
ype of Ide if' a 'o P o c d
Type of Identification Produced LISA MARIE MONTUL�q@ili
LISA MARIEMONTELEONE "+ { IlbbiB
�YPti� .� ��'•• NotarvP�hlir-S
$Ie�Ir)/ Public - State of Florida om missio a1, T _ fate ctf F r�
Commission No. •,`, ,. r [ommission#CnGtV06 of
?� ¢' My comm. Expires Feb 27, 2022 � � M1)Conuvm.ffx W4.Fe+&V. Y622'
eon a roug a orSn ' titer sgn
Revised 07/ 15 2014
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