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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 County aEcerveo Building Permit Application DEC 05 2018 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 �./,.\V,' V J GV.....1 I%V VV.., V,., tV V,I,. V,\. Address: 1900 Bella Vista Way, Unit 3 Building G,H,I Legal Description: it tW5 Pt St Lucie FL 3495 PropertyTax ID #: 3414-501-1509-050-8 Site Plan Name: Project Name: Bella Vista Setbacks Front Back: Right Side: Left Side: bETAILED'DESCRIPTION OF WORK: Remove Existing Shingle from Parking Garage 51 SQ FT Install Polystick MTS 5112 Pitch Install Lomanco Lot No. Block No. CONSTRUCTION INFORMATION: itiona wor to e e orme under tispermit—check all that apply: 11HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors 11Electric El Plumbing Sprinklers Generator RI Roof 5/12 1 Roof pitch Total Sq. Ft of Construction: 5100 S Ft. of First Floor: Cost of Construction: $ 23400.00 Utilities:Sewer Septic Building Height: 12 OWNER/LESSEE: CONTRACTOR: u ^ Name Rich Properties LLC Name: Joshua Schroeder Address:2552 Peters Rd, Ste 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. SUPPLi�iVtEAiTAL-CdNSTRUGfi'a.Mt;1EN LA-W lwh*#'fih3j+J: [TES IGNER/ENGISdEER: _ 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 CounttffyylI makes no representation that is granting a permit will authorize the permit holder to build the subject structure strlucture. Please consult with your Home Owners Associat on and ciation rules, bylaws ur or for ny reand st ictits ons which m y al. prohibit such In consideration of the granting of this requested permit, I do hereby agree that I will, in all rasp perform the work in accordance with the approve s, th2FIod uilding Codes and St. Lucie CountyA ne me tsThe following building per appli ationtfrom undergoing a f/esroomadditi s, accessory structures, s mmim p ols ansigns, screen rooms anther non esiden ial use WARNING TO NER: Yo fa lure a Notice of Commein yo payin twice for improveme s to your pr petty. Commencement nd p sted o the jobsite before a first inspect n. If you inbtain financing, cor an ttor ey before as Agent STATE OF FLOT etc �� STATE OF FLORIDA �� Za�'� . COUNTY of COUNTY OF The for oing instrument was acknowledged before me The for oing " ument was acknowledged before me this Y day of 2yM �t'L-- 20 Ikby this TT day of - 20 1,�_ by roe -e— Naf person acknow (NamWf person acknowledging) (at l'in /I n� 1 ��f (5 gnature of Notary Public- State of Florida (Si nature o otaryPub' -Stersonally Known ate of Florida)floriaa) / OR Produced Identification Personally Known OR Produced Identification d ype of Ida i 'o P c d Type of Identification Produced LISA MARIE MON'fELKi�� �wr . LISA MARIEMONTELEONE ''` " '* stateofFb�66n1 tcc>°4, Public - state of Florida ommissio '`� Nocrvrunur- 99999ffY�lYii Commission No. =`, ti .. (slon —[ommissionnGG+]111 4 •,i CommkExplr 5F b27,2 '4 MV Comm. E+oiras Feb 27. 2022 ••° pAlpCbmrm.ExPir¢sfe'9'2`/. Sb11 Revised 07/15/2014 REVIEWS INITIALS FRONT ZONING SUPERVISOR PLA VEGETATION SEA TURTLE MANGROVE COUNTER I REVIEW REVIEW RED T r REVIEW REVIEW REVIEW