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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY St. Lucie Count y RECEIVED Building Permit Application Nov Oicie. Planning and Development Services I Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Addres Legal Description: PrnnprtvTaxlD#: 3414-501-1509-050-8 Site Plan Name: Project Name: Bella Vista Setbacks Front Back: _ Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No. Block No. Remove Existing Shingle 2 Story Appt Building Install Polystick MTS FL#5259-R28 5/12 Roof Pitch Hip Roof Install1omanco FL#2847-Rg 112 SQ FT Install IKO Dynasty Shingles FL#17800-R2 CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all apply: OWindows/Doors 0HVAC Gas Tank E]Gas Piping Shutters 11 Electric D Plumbing []Sprinklers Generator 21 Roof F5/1 2 Roof pitch Total Sq. Ft of Construction: 112000 Cost of Construction: $ 52,000.00 (per unit) S Ft of First Floor: Litilities'll Sewer 0 SePtic Building Height: 26 OWNERAESSEE: C014TRACTOR: 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@gmail.com State or County License: CCC-1331207 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. S PPLEMENTALCMSt�U UENIAW lk#ok- DESIGNER/ ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _NotApplicable Name: BONDING COMPANY: —Not Applicable Name: Address: Address: City: City: zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Luciecoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in co %ct with any applicable Home Owners As.sociation rules, bylaws or and covenants that may restrict or prohibitsuch structure. Please consult with,your Home Owners Association and review your deed for any restrictions which may apply. in consideration of the granting of this requested permit, I do hereby agree that I will, in all resMts, perform the work in accordance with the approvedpqs, the Flo��uilding Codes and St. Lucie County Am5IX`nePt1- /I The following b ildingpe li/a.ti;on e exem fro undergoing a full re 'r U pp �r;es,s ir 0 ci accessory structt reen rooms and u Ming p - _nceswalltign!m; Yo 1 WARNING TO NER: Yo 11a QJure to Re ord a Notice of Cornmen to 0 improverne pr perty. o e of Commencement ml 0 n �Jf 3u i 0 before Qvir In . If you in$t o obtain financing, cog as Agent for Owner STATE OF FLOP ,V� ) COUNTY 0 The f oing instrument was acknowledge before me this R day of Loz3 01 q ejL)�o ��by Personally Known " Type of Identification Prc Commission No. — Revised 07/15/2014 room ss�opfusesto�nother non eside jai use e drit may !96plt ii P2 yin wice for 3 1 tI 3 )e recorged an( sted o the jobsite attor 10 y I C . e b with leficler or; , Vy before STATE OF FLORIDA COUNTYOF , �,y The forgoing instrument was acknowledged before me this day of _� �-I� 20 by '<'CJ1 ro-e�L- (Name of person acknowledging) State of Florida) ��State'of MlorPda I (Signare of Notary Public OR Produced identification Personally Known 41/1� OR Produced Identification ype 3f lderW'I'&a ciLlor-od-vcad iced "o iV.1Mk.111k.N.0 *��,' �:, LISA MARIE MONI 11 LISA MARIE MONTELEONE "l, L Nolawl?ubll -St4let0f1PF%jijI _51ateofFlorlda mmissio Commission 4 GG 190497 V CommissioroOG019049 0 ($15* Public 04 WCbmm ff%AWsF&V. Y621 +11MVV m�c,mm.Exvlm5Feb27.202�t REVIEWS FRONT ZONING COUNTER REVIEW DATE COMPLETE INITIALS SUPERVISOR REVIEW VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW