HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAWAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ SCANNED Permit Number: _Nl i - OIy l
BY
St. Lucie County
Building Permit Application
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 X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Prope rtyTax I #:' 3414-501-1509-050-8
Site Plan Name:
Project Name: Bella Vista
Setbacks Front Back:
Remove Existing Shingle
Install Polystick MTS
Install Lomanco
Install IKO Dvnastv Shinc
Residential
Pt St Lucie FL 34952
Right Side:
FL#5259-R28
FL#2847-R9
FL#17800-R2
UHVAC Lj Gas Tank UGas
11 Electric 0 Plumbing ❑Spr
Total Sq. Ft of Construction: 112000
Cost of Construction: $ 52,000.00 (per unit)
Piping
Left Side:
2 Story Appt Building
5/12 Roof Pitch Hip Roof
112 SQ FT
RECEIVED
NOV OR 9018
Permlttin9 De
St, Lucie County ty
Lot No.
Block No.
Shutters ❑Windows/Doors
Generator Z Roof 5/12 Roof pitch
S�Ftj of First Floor:
Utilities: I,J Sewer 11 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: 772465-8829
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: maizoroofinginc@gmail.com
State or County License: CCC-1331207
If value of construction is $2500 or more, a RECORDED Notice at commencement is required.
SUPSLEMEN-TAL'CONSTRU.G'1 ia1w.-tim LAW IfiIFORIVfATlCJf11:
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
ply ibitsuch
your deed for any restrictions wirestrict y aprohibit
any
structure. Pleasle consult Owners Association andrrevlebylaws
In consideration of the granting of this requested permit, I do hereby agree that I will, in all resp ts, perform the work
in accordance with the approve s, the Flori uilding Codes and St. Lucie County Ame me ts.
er appli ation re exem t from undergoing a full concurren revie . room additi ns,
The following building Peru
s mming p ols ences, wall signs, screen rooms and accesso uses to pother non eside ial use
accessory structures, ,
WARNING TO NER: Yo fa lure to Re ord a Notice of Commence nt may r ult in yo payin twice for
' recor d and p sted o the jobsite
improveme s to your pr perty. o e of Commencement mu a
irst inspect' n. If you int o obtain financing, co ult with I der or an attor ey before
before th
comm cin work o ecordin o r Notic of Commenceme
s
nature of Owner/Lessee/Contractor as Agent for Owner Signaturd of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLOF�I� COUNTY OF
�
COUNTY OF J ) 1e
The f ing instrument was ack owledged efore me The forgoing instrument was cknowledged before me
this yday of d Q 0 y this day( of 4 21V PWI� . 20 Eby
—f_
y0rno(-e
\iy ,i 01A
(N me of erson acknowledging) (Name of on acknowledging)
(signature of Notary Public- State of Florida )
Ign ure of Notary Pub' -State of Florida)
Personally Known 4Z OR Produced Identification
Personally Known OR Produced Identification
ype of Ir1pnirificatio P o c d
Type of Identification Produced
LISA MAflIE MONTELEONE .'>y,,: ". USA h1ANIE MONTlLE
Commission No. i' °&;(SZat')/Public-State of Florida ommissio IQ'r ;� _r commlssionA6049949Y
' commission# GG 190497 +
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y AtyOommm ffzlofrez•PC15'SY,
MY comm. Expires Feb 27. 2022
on roug
Revised 07/15/2014
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