HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED e
Date: 31 �, �q Permit Number:
El UVC] 1
• RECEIVED
Building Permit Application MAR 01 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County,, Per1116E 119
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof �e ( q �� BY
;PROPOSED IMPROVEMENT LOCATION:
_°b. 3rtat'1if
Address: WZA I iVe-r NQrnmtlC,k (al. t�
Legal Description: 7LI �% 4o C LoA' f 3 CLn6 13 \C WR_r k�ctmnl n r k i,4ddA)
PropertyTaxlD#: 3L(Oy- Lot No. la
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTIONINFORMATION: J
Additional work toe e orme under tispermit-checka apply:
OHVAC �GasTank F]GasPiping _Shutters ❑Windows/Doors
Electric 0 Plumbing ®Sprinklers Elenerator Roof S 1 Roof pitch
Total S Ft of Construction: q. ��T S Ft. of First Floor:
Cost of Construction: $ o�C/, Or) Utilities: Sewer Septic Building Height:
OWNER/LESSEE:'
CONTRACTOR:
Name C D,
Name:
Q eIncZA
rn
Address: It n ( LN-
Company: TREASURE COAST ROOFING
City: V-01-4 � i es C. e, State: rL
Fax:
Phone No. ,_ 75�- S 13 a'y 8 7
Address: 1816 SW BILTMORE STREET
City: OY \.1 C s, State: FL
Zip Code: 34984 Fax: 772-343-8358
-E-Mai :
Phone No. 72'370=977
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
it value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_•Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: - Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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.
no
structure.
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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 vour Notice of Commencement.
Signat a of Owner/ Le see/Con actor as Agent for Owner
Signature ontractor/ is se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LCUIE
COUNTY OF ST LUCIE
The forgoing instrument as ack owledged before me
The forgoing instrume t was cknowledged before me
this day of ` q/G 20L by
this day of _1 20jq by
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
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission ( Public State ofFloriaCO
issionNo. oZ7el,r/1r1.)NaWYPubliecIvictor
4,
G Alterizio
MYcommission GG 27429
Victor G Alterizio
MY Commission G
512022
Expres 11/0512022
Expires 11/0
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
- —
RECEIVED
DATE
COMPLETED
/
Rev.8/2/17