HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- RECEIVED
• Building Permit Application FEB 2 5 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie CountyPVIT111,I19_
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof— --V, \
I PROPOSED IMPROVEMENT LOCATION: I
Address: 5285 MELVILLE RD, FT PIERCE FL 34982
Legal Description: 03 3640 BEG 1245 FT E OF OLEANDER AV AND 6 ST, TH RUN N 230 FT FOR POB, TH E 13t
TO W RlW MELVILLE RD
Property Tax ID #: 3403-331-0007-010-5
Site Plan Name:
Project Name: J E FULLER
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
Remove Existing Shingle 25 SO FT 6/12 PITCH HIP ROOF SCANNED
Install Polystick MTS BY
Install 5-V 26 GA Extreme Metal St. Lucie County
CONSTRUCTION INFORMATION:
Aclaitional work to be performed under tispermit—check all apply:
❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑ Generator Z Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 2500 S Ft. of First Floor:
Cost of Construction: $ 14400.00 Utilities:Sewer ❑Septic Building Height: 25
OWNER/LESSEE:
CONTRACTOR:
Name J E FULLER
Name: Joshua Schroeder
Address: 5285 MELVILLE RD
Company: Marzo Roofing Inc
City: FT PIERCE State:FL
Zip Code: 34982 Fax:
Phone No.772-579-1022
Address: 861 A -SW Lakehurst Drive
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489 -
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: marzoroofinginc@gmail.com
State or County License: CCC-1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.S
SUPPLEA/fENTAL CONSTRUE'' T4,t;1EN LAW 1Nf,dkiS tf0N-
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
structure. Pleasle consult w with yolur Home OwnOwners
rs P sociatlon and review your deed for any restrictiots ns s wrestrict
ich a or prohibit such
Y apply.
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 wilding Codes and St. Lucie County Ame me ts.
The following building per appli ation re exem t from undergoing a full concurren revie . room additi s,
accessory structures, s mming p olVences signs, screen rooms and accesso uses to nother non eside ial use
WARNING TO NER.Yo fa a Notice of Commence nt may r uIt in yo payin twice for
improveme s to your pr pertCommencement mu a recor d and p sted o the jobsite
before th first inspect' n. If ybtain financing, co ult with I der or an attor ey before
as
STATE OF FLOI"
COUNTY OF aTLA c
`
The f r oing inst ment was acknowleZge,¢�efore me
this day of A`fih__. W - -by
(Name oyperson acknowledging)
Personally Known
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
LISA MARIE MONTEI
(Sias✓,)/ Public - State a
Commission 0 GG V
My Comm. Explres Feb
STAE OF COUTNTY OFORIDA ��
Thef rgoingins ent was acknowledged before me
this 5 day of � 20 [ by
JdJ�L ct, Cc�. ✓0 e-�-e-v
(N me of person acknowledging)
I
(Signature of Notary Public -State of Florida )
Personally Known "%x OR Produced Identification
Jy`pe of Ide if . 'oP o c d
j LISA MARIE MONTEL iGM
REVIEWS
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COUNTER
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REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
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SEA TURTLE
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MANGROVE
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