HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED %
Date: 5 `'tiCk Permit Number: \d'd s c w q 1`b
Building Permit Applicati
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof -A:\
PROPOSED IMPROVEMENT LOCATION:
Address: 7106 Lorraine Ct, Port St Lucie FL 34952
Legal Description: 7106 Lorraine Ct Rivers Edge Peninsula Lot (0.30AC)
Property Tax ID #: 3416-802-0005-000-3
Site Plan Name:
Project Name: Jerry Glattfelt
Setbacks Front Back:
Right Side: Left Side:
MAY 0'S 2019 BY
St Lucie (
ST. Lucie County,
Residential x
Lot No. 4
Block No.
DETAILED DESCRIPTION OF WORK: III
Remove Existing Tiles
Install Polystick TU MAX
Install SAV-SAP to Flat Roof
Install Boral Tiles
39 SQ 5/12 pitch Gable Roof
CONSTRUCTION INFORMATION: III
LIHVAC QGasTank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 3900
Cost of Construction: $ 36145.00
jernm-cnecK du Mdpply
5as Piping _Shutters ❑ Windows/Doors
Sprinklers Generator Z Roof 5/12 Roof pitch
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
Building Height: 13
OWNER/LESSEE:
CONTRACTOR:
Name Jerry Glattfelt
Name: Joshua Schroeder
Address: 7106 Lorraine Ct
Company: Marzo Roofing Inc
City: Pt St Lucie State: FL
Zip Code: 34952 Fax:
Phone No.
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 $2S00 or more, a RECORDED Notice of Commencement is required.
sUPPEEnrrEi C16USTR6 a tt� LAW 14a�i
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip. Phone:
FEE SIMPLE TITLE-HOLDER: _ Not Applicable
BONDING COMPANY: —Not Applicable
Name:
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whirestrict
applyhibit such
any restrlctl that may
h m or
eAssociation
strlucture. Pleasle c nsult withpyour Home Owners andrreview your deed for
In consideration of the granting of this requested permit, I do hereby agree that I will, in all resp perform the work
in accordance with the approve S, the Flori wilding Codes and St. Lucie County Ame me ts.
The following building per appllolsionnces, walln, if ro screen rooms and access
cce soenuses to no her non rfeside ial use
accessory structures, s mming p g
ult in p ce for
WARNING TO NER: Yo fa ure tooRee In r r d d orn theljobsite
improveme S to your pr pert,. of Commen emomms mue a rec and st
If in o obtain financing, co ult with I der or an atto ey before
before th first inspecC n. you
o ecordin o Notic f Commenceme
comm cm work
s
ure of Owner/Lessee/Contractor as Agent for Owner I e of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLO /1 l,N, COUNTY OF
��
COUNTY OF L ���
The rgoIng instrument was acknowledged efore me The for Ing instrument ` was " acknowledgeJo-d before me
f7 day 20 by
this day of 20by this of �r y�ac __�
O
�0 t �ari
I�� Int 1Q �Yl �l1 �'eY
(Name of person acknowledging)
(Name of person acknowledging)
(Sig ature of NotaryPublrc-State of Florida)
Sig tune of Notary Pub State of Florida)
t• OR Produced Identification Personally Known OR Produced Identification
'f 'o d
Personally Known ype of Id P o
Type of Identification Produced USA MAflIE MONTLLSfi
LISA MAPIE MONTELEONE '`*`�' `°;ate of
ommissio Qom?;
,+"Yp'••y
r�mmis:ionnt,
Commission No. �`1 (s'Pu6iic-State ofFlodda
' < Commission Y GG 190497 + Cwmm.ffr,FiimzFen'2Y. 2ftt1
MY Comm. Expires Feb 27. 2072 pn4 {n
oe s�.A`'
on t roug
Revised 07/15/2014
SUPERVISOR VEGETATIONLE MANGROVE
S REVIEW
PLANS REVIEWS
ZONING REVIEW
CFRONT
OUNTER REVIEW REVIEW RE EW
DATE
COMPLETE
INITIALS