HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
g J�� SCANNED Permit Number:
BY .
St. Lucie County RECEIVE®
.� Building Permit Application APR 08 201E
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 7304 Arthurs Road Fort Pierce
Legal Description: Lakewood Park Unit 2 Bilk 14 Lot 24
PropertyTax ID #: 1301-602-0093-000-3
Site Plan Name:
Project Name: JoAnn Greene Zebrowski
Setbacks Front Back:
Right Side: Left Side:
Tear off existing flat roof, install Elastoflex SA V, Polystick G
'? L lbs-q- V1 23
CONSTRUCTION INFORMATION:
❑HVAC ❑ Gas Tank
❑Electric ❑ Plumbing
Total Sq. Ft of Construction: 228
Cost of Construction: $ 425.00
l¢—CneCK au appry:
Piping _Shutters
nklers ❑ Generator
S Ft. of First Floor: _
Utllities:cn Sewer []Septic
Lot No.
Block No.
❑ Windows/Doors
Ri Roof . 7 2 Roof pitch
Building Height:
OWNER/,LESSEE:' :
CONTRACTOR -
Name JoAnn Greene Zebrowski
Name: JoAnn Greene Zebrowski
Address: 7304 Arthurs Road
Company:
City: Fort Pierce, State: FL
Zip Code: 34951 Fax:
Phone No. 772-323-8548
Address: 7304 Arthurs Road
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-323-8548
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires.
Name:
Addre!
City: _
Zip: _
Phone:
FEE SIMPLE TITLE HOLDER:
State:
Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or Installation has commenced prior to the issuance of a permit.
no
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.
OF FLORIDA 1 SYATt OF FLORIDA
FYOF 5'T• L �( ct COUNTY OF 'S��
The forgoing Instrument was acknowledged efore me
this J day of L( iD ,t_, 20 Il_by
(Name of person acknowledging )Owner/Lessee/Agent Printed Name
The forging instrumJnt wa�acknowledged before me
this S day of _� ,(4 I , 20 [� by
,���������L&)
(Name of pe son acknowledging ) °,
_���W -Sv Z-11 �i��0Su%Vo"_
(Signature o Notary Public -State of Florida) (Signature o Notary Public -State of Florida)
Personally Known _,X_ OR Produced Identification Personally Known A OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. U.ZL7Id 5 `1 &I— (SSpAbthyw. sution Commission No. L L 17 7 X tsao�y w. Sutton
i 1PRy 4sgan NOTARY PUBLIC Zo aNYq s0� NOTARY PUBLIC
or y TATrQFFLORICA
i Comm# GG185982
Revised 07/15/2014 r 1 Comm# GG185982 `
s/VcE t9�� Expires 3/20/2022 s/bcE 19�� Expires 3/20/2022
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