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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ff Date: SCANNED Permit Number: I �l 101 BY St. Lucie County Rft^t:�f0 Building Permit Application OEC 05 Planning and Development Services Pennitt1 10/9 Building and Code Regulation Division St, L �9 o e Part 2300 Virginia Avenue, Fort Pierce FL 34982 a county ent 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: DETAILED DESCRIPTION OF WORK: Pt St Lucie FL 34952 Right Side: Left Side: Remove Existing Shingle Install Polystick MTS FL#5259-R28 Install Lomanco FL#2847-R1D 2 Story Appt Building 5/12 Roof Pitch Hip Roof 112 SQ FT Lot No. Block No. I CONSTRUCTION INFORMATION: I 11HVAC UGasTank 11 Electric El Plumbing Total Sq. Ft of Construction: 112000 Cost of Construction: $ 52,000.00 (per Piping Sprinklers Shutters Windows/Doors Generator �✓ Roof 5/12 Roof pitch S Ft. of First Floor: Utilities:llSewerOSeptic 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@gmail.com State or County License: CCC-1331207 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLENfE(iQL CCN�1S PRIJi I©[tf IEN LAW IhlfliStiATffOIU DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure. Please c consult iithpyolur Hlome Owners Association and sociation review your deed aws or fr any restrictions wrestrict ich m y aprohibit such In consideration of the granting of this requested permit, I do hereby agree that I will, in all resp , perform the work in accordance with the approveotgs, the Flori uilding Codes and St. Lucie County Ame me ts. The following building per accessory structures,s ml WARNING TO NER improveme s to your hafore th irst inspect 71i atlon re exem t from undergoing a full � ols ences, wall ,signs, screen rooms and fa lure to R ord a Notice of Commen lerty. oY a of Commencement m� If you int o obtain financing, cord as STATE OF FLOit)II COUNTY OF The forgoing instrument was acknowledged before me this day of�P1rP20 I by �O�A-fx� J�i%�YO�L�✓ NarMof person acknowledging) useer non eside ial use en rm aaaal ns, tremcaoyr ypo stepdayoin tthwe ijcoe bfsoir ittte STATE OF FLORIDA �� COUNTY OF The forgoing instrument was acknowledged before me this_4 _day20C_by i ( Ignature of Notary Pub' -State of Florida) Si ature of Notary Public -State oFlorida) Personally Known OR Produced Identification Personally Known OR Produced Identification ype of Ide i "o P o c d Type of Identification Produced I.ISA MARIEMONTCLS' LISA MARIE MONTELEONE •':*,T,',:f._ gb�TE� ,,- .°, ($a*Public-State of Florida ommissio ,a';� 31-- NotCommiuion UtGG9 649 �I commission NO. Commission S GG 190497 +� Comm. E><Gires Feb 77.2 022 � + .f p4fCora.R.ffnprr2sfE'6'TY, T62T MY .. _ i nwa xrm cur Revised 07/15/2014 REVIEWS INITIALS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLA RE VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW 12 b