HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
i
a
Building Permit Application SCANNED
Planning and Development ServicesSt LUCiG,Cfful1tj/
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMITAP;PLICATION FOR: Roof
Address: 308 I'Bay Street
i
Legal Description: River Park Unit 27BLK 21, LOT 9. (MAP 34/22N) (OR 3344-1714: 3432-373)
Property Tax ID #: 3419-510-0308-000=0 ' Lot No. 9
Site Plan Name: Block No. 21
i
Project Name: Lisa E Vom Orde
Setbacks Front Back: Right.Side: Left Side:
Metal /Flat Roof
Install Polystick MTS Underlayment
Install 1" Seam 26 GA Hidden Fastners Metal Roof
20 SQ
Additional worK to oe errormea unaer inis permit — ci
EbVAC j 13 Gas Tank ❑Gas Piping
11 Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft if Construction: 2700
Cost of Cons;'truction: $ 12450.00
Install PolyGlass White PolyFresko on Flat.
7 SQ
appiy:
_ Shutters Q Windows/Doors
Generator ✓� Roof 1.5/12 Roof.pitch
Sq. Ft. of First Floor:
Utilities: 0Sewer Septic Building Height: 13
A ,9Affi ER LE- 8EJE
CONTRACTOR:
Name Lisa E!Vom Orde
Name: Joshua Schroeder
Address: 925 SW Bellevue Ave
Company: Marzo Roofing Inc
City: Port St Lucie State: FL
Address: 861 A -SW Lakehurst Drive
Zip Code: 34953 Fax:
City: Port St Lucie State: FL
Phone No. 772-260-9922
Zip.Code: 34983 Fax: 772-465-8829
E-Mail:
Phone No. 772-871-2489
Fill in fee si� ple Title Holder on next page (if different
E-Mail: marzoroofinginc@gmail:com
from the Owner listed above)
State or County License: CCC-1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires.
SU-PPUg-'iA '. AL-CON-STRUCT- R#:lENtAWN X
DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: I Address:
City: ! State: City: State:
Zip: I Phone- Zip. Phone:
FEE SIMPLE TITLE,, HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not Applicable
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, inVes, perform the work
in accordance with the approve s, the Flori„ wilding Codes and St. Lucie County ts.
The following building per appli ation re exem t from undergoing a full concurrenoom ad)eden
accessory structures, s coming p ols, ences, wall , signs, screen rooms and accesso ther noal use
WARNING TO NER: Yo r fa lure to Re ord a Notice of Commence nt min yo ice for
improveme s to your pr perty. of a of Commencement mu a red p stjobsite
before th first inspect' n. If you Int o obtain financing, co ult with an attfore
Comm cing work o ecordin o r Notic of Commenceme
as Agent for Owner
STATE OF FI
COUNTY OF
The forgoing instrument was a knowledgge lPefore me
this 5 day of y
s--AAIa <3efi roe-lote!'
(Name irf person acknowledging) .
ature of Notary PubX State of
Personally Known1 '� OR Produced Identification
Type of Identification Produced—
s;Y'�� LISA MARIE MONTELEONE
_'�` - $Jaak j Public - state of Florida
commission No. r ' Commission z GG 190497
My Comm. Expires Feb 27. 20Z
Revised 07/15/2014
REVIEWS I I FRONT
COU NTER
UHIC
COMPLETE
INITIALS
r
STATE OF FLORIDA
COUNTY OF sy- fife t ' '
The forgoing instrument was a knowledged before me
this` day of Na 0- by
et
(Namenof person acknowledging)
:jig t!_reo Notary Public- State of Florida )
Personally Known d-/OR Produced Identification
Tvoe of Ident,'I,fWa�on Produr_.ed
LISA MARIE MONTI
•� � -State
Commission N W
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