HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLFINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: SCANNED Permit Number: -
BY
aigigga—M St. Lucie County RECEV:ED
G _ ' 18
'FA 2
MWO Building Permit Application U 9 0
Planning and Development Services
Building and Code Regulation Division S' Lucie �ounty, Perr]r11q1n
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof — -�, W-o4\5\-'�'
PROPOSED IMPROVEMENT LOCATION:
Address: 1900 Bella Vista Way BLD C Unit 1, Pt St Lucie FL 34952
Legal Description:
PropertyTaxlD#: 3414-501-1509-050-8
Site Plan Name:
Project Name: Bella'v`ista
Setbacks Front Back:
� DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Remove Existing Shingle 2 Story Appt Building
Install Polystick MTS FL#5259-R28 5/12 Roof Pitch Hip Roof
Install Lornanco FL#2847-R9 112 SQ FT
Install IKO Dynasty Shingles FL#17800-R2
CONSTRUCTION INFORMATION:
AaamonaiworKIODenerrormea
unuerinisperma-ci
EIHVA(
Gas Tank
OGas
Piping
DElectric
Plumbing
[]Sprinklers
Total Sq. Ft of Construction: 112000
Cost of Construction: $ 52,000.00 (per unit)
Lot No.
Block No.
Shutters Windows/Doors
Generator Roof EE Roof pitch
S Ft of First Floor:
utilities"'n Sewer L Septic
Building Height: 26
OWNER/LESSEE:
CONTRACTOR:
Name Rich Properties
Name: Joshua Schroeder
Address: 2552 Peters Rd, Suite B
Company: Marzo Roofing Inc
City: Ft Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-409-6509
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@gmaii.com
State or County License: CCC-1 331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUIcTA014. LIEN -LAW XFORMAT1014:
_6ESIGNER/EKGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address-.-
Address:
City: State:
Zip: Phone:
City: State:
zip! Phone -
FEE SIMPLE TITLEHOLDER: _NotApplicable
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.Luciecoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co Mict 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 1 11 pe o
,�n a ierlesp rf rm the work
h the approve he Idin Codes and St. Lucie Coun Am '�ss.
in accordance w ui "' e tt
0
0
.1.1. undergoing a full concurren revie . room additi s,
1 ding pe�ry P ation �t fr rn
The following bL:i`1 P1 es n, n on esid I.
a in tu
fall d accesso u to
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accessory structures, s mmingp ols nces, wall , signs, screen rooms and accesso uses to nother non eside ial use
Y
WARNING TO NER: 0 rfaluretoR ord a Notice of Commence nt ayr ultin 0 payin twicefor
r
improveme Xstoyour perty. ot' e of Commer nu I e i r c I or d and Y� sted 0 the jobsite
I :) c tt
before th irst inspect" n. If you int o obtain fini ult with I der or an a or ey before
as
STATE OF FLOIT� )=L STATE OF FLORIDA
COUNITY0117 COLINTYOF_ iSYZU9:21'e
The IoWing instru ent was acknowledge fore me The orgoing instruTent was ac�nowledgecl before me
thisc- Lot day of qa 4A&fi� 20 lKbV
.2�jclayof by I I
��SLI _h
or wk-SOSC
(Nam f person acknowledging) (N of person acknowledging
( T r A A LZ7 I/ - Q_41
Pul)
-(�gnature of Notary '7- :)tai;e oT rimiud)
Personally Known OR Produced Identification
Type of identification Produced
. P ..... LISA MARIE MONTI
Commission No (Siaaj� Public - State
r�lsslon # GG
n7l1ri/9.014
(SWn.ture of Notary Public- State of Florida
PersonallyKnown 4x OR Produced Identification
I'vne of Ider%f1fka1JotLPU0d_VC_qd . 11 "
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS