HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4 � \ 6 Permit Number: NGO i - OOg1
=' RECEM-7D APR 0 6 2016 SCANNED
BY
Building Permit Application St. Lucftftl Sion -I is
Planning and Development Services 03NNF/0S
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: Roof — p�tA,3,1 III
-PROPOSED IMPROVEMENT LOCATION: III Address: 632 W WEATHERBEE
Legal Description E O Rtl W ORO SEWO 6W tNO W NRWE ORPo4 MRN MYW ]XWLIO EWOFON IN OF SNINO MNL6 NWtlWM6 0Gfi f]9 NNI WT W OREfNOF9 tN OFSNIN
Property Tax I D #: 2434-334-0005-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF. INSTALL NEW 5 V METAL ROOF WITH PEEL N STICK
UNDERLAYMENT C ° i��.��,�r,9 u �h
CONSTRUCTION INFORMATION:
Adaitionalworl(toofirrormed un
❑HVAC Gas Tank
ert ispermd-check
Gas Piping
all
appy:
_Shutters
❑ Windows/Doors
Electric 0 Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 1466
S
Ft. of First Floor:
Cost of Construction: $ 20,000
Utilities*
Septic
Building Height: 1
.,OWNER/LESSEE:
CONTRACTOR:
Name SHIRLEY BARTLETT
Name: BRIAN J MALONEY
Address: 632 W WEATHERBEE
Company: TREASURE COAST ROOFING
City: FORT PIERCE State: FL,
Zip Code: 34982 Fax: N/A
Phone No.
Address: 1816 SW BILTMORE
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-343-8358
Phone No. 772-370-9770
E-Mail: N/A
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
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 the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and 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: 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
)�::Js
Signature of Contractor/Lk&p&e Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S F L incic COUNTY OF
The fo going instrument was acknowledged before me
this day of /414e4c �k 20 JLby
C'ior\ J Irlc�lane
(Name of person ac wle/d 'ng) /
�/
(Signature ofjjitd[a Pu lic-State of Florida)
Personally Known _X__ OR Produced Identification
Type of Identification Produced .,,,,unw,,
Commission No.
;•w�' 12, 2ge
Revised07/15/2014 kFF122434
i�f •._®. FF2 FAQ:
The forgoing instrument was acknowledged before me
this__� dayofill .20 Lby
06'Y-) J M loner/
(Name ofperso knowledging)
(Signat ary Public- State of Florida )
Known X, OR Produced Identification
Type
Commission No.
®® OFF 122434
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