HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
81LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: 12l a_ l 0 I
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 Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 13Qt"Beilasta�/ayj;D Pt St Lucie FL 34952
Legal Description:
Property Tax ID #: 3414-501-1509-050-8
Site Plan Name:
Project Name: Bella Vista
Setbacks Front Back:
Right Side: Left Side:
RECEIVED
DEC 0 5 7019
Permitting peOnment
St. Wc1ecounty
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
Remove Existing Shingle 2 Story Appt Building
Install Polystick MTS FL#5259-R28 5/12 Roof Pitch Hip Roof
Install Lomanco FL#2847-Rill) 112 SQ FT
Install IKO Dynasty Shingles FL#17800-R2
CONSTRUCTION INFORMATION:
HUUMVIIOI WUIM IU UC CIIUI IHCU UIIUCI LI10 PC[ 1 I IIL-U
�HVAC _Gas Tank ❑Gas Piping
Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction: 112000
Cost of Construction: $ 52,000.00 (per unit)
Shutters ❑ Windows/Doors
Generator ❑✓1 Roof 5/12 Roof pitch
Sq� FFtt.I of First Floor: _
Utilities:—SewerE]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:FIL
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: marcoroofinginc@gmail.com
State or County License: CCC-1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUf P .......... CUNSTIt1JCi41 f UM LAW NdQ� tiTf��i4:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
applyhibit such
your deed fr any rents
which maor
structure. Please consult withpyour Home Owners Psso iiation andrreview sttrictions
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 approve s, the Flori uilding Codes and St. Lurie County Ame a ts.
The following building pe appli ation re exem t from undergoing a full concurren revie .room addiY s,
s mining p aIs, ences, wall , signs, screen rooms and accesso uses to nother non eside ial use
accessory structures,
WARNING TO NEER: fa lure to R ord a Notice of Commence nt may r ult in yo payin twice for
recwr 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 t
Comm cin work o ecordin o Notic f commenceme
s
,51gire of Owner/Lessee/Contractor as Agent for Owner I e of Contractor/License Holder
STATE OF FLO A STATE OF FLORIDA Sl UlIf
��t �� COUNTY OF
COUNTY of
Theff?rgoing i ment was acknowledge ore me The far oing instrument was acknowledgedrp'efore me
this `�� day of� /)7{2�i1- 20 i r by
this day of I �lvlm h-P.i'�-. 20 d by
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eae,-c—'y ti"ti J C.i7 V'4 `
ry
�/fp htA� Name of person acknowledging)
(Nam f person acknowledging)
-
L
nature of Notary Public -State of Florida)
(Si nature o OfaryPub -State of Florida )
lly Known ORdProduced Identification
OR Produced Identification PProc
epe
ov
Personally Known of
Type of identification PfOdUCed LISA MApIE MO ITCLIR
LISA MARIE MONTELEONE
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Commission No. :� '�`•; Public -Sae of Florida mmissio
(, (�' -s CommissionU Gr }gggg/
� CommisslantlW 190497 :yam _•� yp,�y Yty2Z
Feh 27.2022 t+
my Comm. Fxoiras
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Revised 07/15/2014
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