HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST
BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l' %"/ SCANNED Permit Num
BY
_rn St. Lucie County
Building Permit Applicatio
Planning and Development Services
Buildiri'g 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: 1900 Bella Vista WayB _ rn _ 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:
047,21.
RECEIVED
JAN 2 3 2019
Permitting Department
St. Lucie County, FL
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
Remove Existing Shingle
Install Polystick MTS FL#5259-R28
Install Lomanco FL#2847-R'10
2 Story Appt Building
5/12 Roof Pitch Hip Roof
112 SQ FT
I CONSTRUCTION INFORMATION: I
0HVAC U
Gas Tank
11 Electric 0Plumbing
Total Sq. Ft of Construction: 112000
Cost of Construction: $ 52,000.00 (per unit)
Piping
Sprinklers
Shutters ❑ Windows/Doors
Generator Roof 5/12 1 Roof pitch
S Ft. of First Floor: _
Utilities:: Sewer D 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: 772-465-8829
Phone No. 772-871-2489
E-Mail:
Fill in fee simple Title Holder on nextpage (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.
SfJPPLE1VfENTAI COfVSlRU.GU011i 1ENiAWKFOR1UlATf0111:
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
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 approveol"s, the Floriouilding Codes and St. Lucie County Ame me ts.
The following building per
accessory structures,s m
WARNING TO NER
improveme s to your
pli ation re exem t from undergoing a full co cur
revie .rooKa
s,
p ols, ences, wall , signs, screen rooms and accesso uses to pothede ial use
rfa lure to R ord a Notice ofCommence nt may r ultin yn twice for
erty. oY a of Commencement mu a record and the jobsite
fyou int o obtain financing, co ult with I der orany before
as
STATE OF FLORTII?� 1 l�tC fY�
COUNTY OF
The f rgo. ��la acknowledgedbefore meday 0thid
'1YQj'
75v
(Name of person acknowledging)
Personally Known
Type of Identification
Commission No.
Revised 07/15/2014
REVIEWS
DATE
COMPLETE
INITIALS
OR Produced Identification
LISA MARIE MONTELEONE
(SM4Public - State of Florida
Commission # GG 190497
My Comm. Expires Feb 27.2022
STATE OF FLORIDA ��
COUNTY OF
The forgoing instrument was acknowledged before me
this S!gj day of _� v+,4,C 20 '� R by
[ ! OL e�Cht� li
(Name of person acknowledging)
turn a of Notary Public State of Florida )
Personally Known d11� OR Produced Identification
TVoe of IdegifAaiioq Prod rfed
LISA MARIE
FRONT ZONING
COUNTER I REEVI W I REVIEW SUPERVISOR I RE EW �VON REVI WI S EVIEWLE MANGROVE