HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl � ;
ALL APPLICABLE INFO Mi1ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1,500
o ^d �� �
Date: �� �� Permit Number:
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line KD&
CEDAR PLACE, PORT ST LUCIE FL. 34952
Legal Description: SEC: 26 TWN: 36 S RANGE 40 E
PropertyTax ID #: 3426-703-0081-000-6 Lot No.
Site Plan Name: Block No.
Project Name: DONNA OR DAVIS ALDRIDGE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: III
REMOVE EXISTING SHINGLED ROOF. INSTALL RESISTO SHINGLE UNDERLfEI
INSTALL IKO CAMBRIDGE SHINGLES PER CODE. FES ? 3
&A -- `11ia �ii� g-Gable, F , 2015
CONSTRUCTION J N FORMATION : °uRnS Fc
TL to k......,o .,.. o r ..o...;iTGZI r �r �..._
�HVAC LJ Gas Tank
❑Electric 0 Plumbing
Total Sq. Ft of Construction: 4100
Cost of Construction: $ 11,275.00
Piping
❑Shutters
❑Windows/Doors
nklers
❑ Generator
❑✓
Roof
Sq. Ft. of First Floor:
Utilities: 0Sewer ❑Septic Building Height:
OW N ERAESSEE
CONTRACTOR:
Name GARY MARZO
DnAh
e: GARY MARZO
Address: 861-SW LAKEHURST DRIVE 1,2q 1 0, .e ('1
any; PORT ST. LUCIE
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax.772-465-8829
Phone No. 772.aZl-2AW
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: GMARZOINC@AOL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: GMARZOINC@AOL.COM
State or County License: CC-0058193
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:
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 theSermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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: roam 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
_ Signature of 0v ne Lessee/A n
STATE OF FLORIA- /�tl�e
COUNTY OF
The forgoing instruWl was acknowledged before me
this day of ��hiC 20 /6by
Vf P�2
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
MY COMMIaaN�. n
"FIRES March 9,
Revised 07/15/2014
s
Signatur Cc tra for icense H I er
STATE OF FLO A
COUNTY OF or WeAe
The forgoing instrume t was acknowledged before me
this &?A day of 20 by
%u//6
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Type of
OR Produced Identification
MY COMMISSION #FFgS&ol)
EXPIRES March 9, 20 its
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