HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
JALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: SCANNED Permit Number:
BY
St. Lucie County
RECEIVED
Building Permit Application NOV o$ 2010
Planning and Development Services
Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID #: 3414-501-1509-050-8
Site Plan Name:
Project Name: Bella Vista
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Pt St Lucie FL 34952
Right Side
Remove Existing Shingle
Install Polystick MTS FL#5259-R28
Install Lomanco FL#2847-R9
Left Side:
2 Story Appt Building
5/12 Roof Pitch Hip Roof
112 SQ FT
Lot No.
Block No.
CONSTRUCTION INFORMATION: �II
Additions wor to eDe orme under tisoermit—check all that apply:
L IHVAC L=1Gas Tank UGasPiping
11 Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction: 112000
Cost of Construction: $ 52,000.00 (per unit)
Shutters ❑ Windows/Doors
Generator Z✓ Roof 5/12 Roof pitch
S Ft. of First Floor: _
Utilities: Sewer —Septic
Building Height: 26
OWN ER/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@gmail.com
State or County License: CCC-1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL-CONSTRUICiIf3[ti1 iIM LAW Ii�I�Of�IVtATtCf1V:
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 Counntfyl makes no representation that is granting a permit will authorize the permit holder to build the subject structure
aprohibit such
deed r any rictions whichmaor
structure. Please consult withpyolur Home Owners Association andreviewyour restrictions
In consideration of the granting of this requested permit, I do hereby agree that I will, in all re ts, perform the work
in accordance with the approve s, the Flo wilding Codes and St. Lucie County Ame me ts.
The following building per appli atian re exem t from undergoing a full concurren revie . room additi s,
accessory structures, s mming p ols, ences, wall , signs, screen rooms and accesso uses to pother non aside ial use
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 sted o the jobsite
improveme s to your pr perty. of a of Commencement mu a p
before th irst inspect n. If you int o obtain financing, co ult with I der or an attor ey before
comm cin Or o ecordin r Notic of Commenceme
ire of Owner/Lessee/Contractor as Agent for Owner a of Contractor/License Holder "` "
I
STATE OF FLOT� STATE OF FLORIDA
J COUNTY OF 'Sy
COUNTY OF J
The forgoing instrument was cknowledged before me The f�f oing instrruym�ent was ac_kno Ie2 g Ir) before me
this,r day of a U 2 V 20 &—by this O day of ft0 @ 1 W e
S a
So s h uA ch�v �-e(Name
of INperson acknowledging )
A��owledging)
ature of Notary Pub' -State of Florida ) re of Notary Public -State of Florida I
Personally Known OR Produced Identification Personally Known v OR Produced Identification —
Personally of Ida if a 'o Produced
Type of Identification Produced
LISA MARIE MONTELEONE R.\^ LISA MARIE MONtTeLWEI
'
Ommisslo
(y3aPublic-State of Flor1damSta
Commission No. Nolaw
Commisslon S GG 190497 comisslonuG4}4tl499
MyComm.E%P1resFeb77.2022 AC/Cormem.Ex{oiMsf!'19'2%YYYLY
on a row rou9 wm' vtar ss
Revised 07/15/2014
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