HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: I a ,Oaa
SCANNED
BY RECEIVED
BuildingPermit Application St. Lucie county
pp DEC 18'101B
Planning and Development Services '
Building and Code Regulation Division Permitting Department
t. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982`
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
Address:
Legal Description:
EMENT'L`OCATION:
.- iMt. 0eiYer- D --
Property Tax ID #: ` q y7— 701 — ()(35 G. — �o — y Lot No.�
Site Plan Name: Block No. 3
Project Name:
Setbacks ,Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
/e,G,. 6� rlA �2Wfi a..d ir,s•fFli n�� Fla- '�2�,�-�.
CONSTRUCTION INFORMATION:
nn� .une M cnn nrmn un nrY mnnrmrt_r or �.. _Y �4 ann v -
L IHVAC Gas Tank Gas Piping ❑ Shutters ❑ Windows/Doors
Electric OPlumbing Sprinklers 1:1Generator E&oof IA;Roof pitch
Total Sq. Ft of Construction: 3(%�J`V S Ft. of First Floor:
Cost of Construction: $ _!i a ,g0 Utilities. Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name JtAV C4 C. -YiX(
Name: 1
ne
Address: 3Q7 W h i+o,
Ocak
Company: TREASURE COAST ROOFING
city: C-1 r anal i 51 and State: W
Zip Code: 1 N01 a Fax:
Phone No. 99a- 6'0 7
Address: 1816 SW BILTMORE STREET
City:- w LJC� R State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772`370-9770
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: TCROOFINGLLC@GMAIL.COM
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 Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 1816 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
commencing work or recording your Notice of Commencement.
Signature of O r/ Le Contractor as Agent for Owner
Signature of Contractor/L' ense Hold
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLCUiE
COUNTY OF STLUCIE
The for oing instrument was acknowledged before me
this IT day Det' 20-Sby
The for oing instrument was acknowledged before me
this day of FJ elc— 20%� by
of
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
� �/
' - �
�% y�
�/Li g � I
(Signature of Notary Public- State VFlorida)
(Signature of Notary Public -State lorida )
Commission No. ,?4a (Seal)
Commission No. % �f/' Z (Seal)
A✓T °4k Notary
Vic.,Public State of Flonda
.� by Notary Public State of Floritle
REVIEWS
My Comminai
FRO T�'O' Z0�1`M1110s2OPERVISO
n GG 274292
PLANS
VEGETATI �i�
ti iorr,�,
A EYytA��ro
izio
n &f?OV
COU
REVIEW
REVIEW
DATE
RECEIVED
e
DATE
COMPLETED
Rev.8/2/17