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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: "4 SCABNNED Permit Number: \`1\O (—� �— _ St. Lucie CountFAMSy RGCI -- Building Permit Application JAN Planning and Development Services Building and Code Regulation Division Pe rm itti n C 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x R Si�rI #Cle PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: - Address: 1900 Bella Vista Way, Unit 4 Building K,L,M,N Parking Garage 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: Remove Existing Shingle from Parking Garage ` 51 SO FT Install Polystick MTS 5/12 Pitch Install Lomanco Install IKO Dynasty Shingles CONSTRUCTION INFORMATION: Lot No. Block No. HVAC ❑ Gas Tank ❑Gas Piping ❑ Shutters ❑ Windows/Doors Electric ❑Plumbing Sprinklers 1:1Generator 21 Roof 5/12 Roof pitch Total Sq. Ft of Construction: 5100 Cost of Construction: $ 23400.00 Sof First Floor: _ 11UtilitiesSewer ❑ Septic Building Height: 12 OWNER/LESSEE: CONTRACTOR: 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 $2500 or more, a RECORDED Notice of Commencement is required. S UPPLWENTAL t6h S TRUC14M t1EN LAW INPQRIUTATt0'; DESIGNER/EWGINEER: _ Not Applicable Name:' MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Countfyl makes no representation that is granting a permit will authorize the permit holder to build the subject structure structure. Please consult withpyour Home Home Association land reviebylaws y ur deed for any restrictions which ay aprohibit such In consideration of the granting of this requested permit, I do hereby agree that 1 will, in all resp ts, perform the work in accordance with the approvedA*gs, the Flori wilding Codes and St. Lucie County Ame me ts. The following building per appli i tion re exem t from undergoing a full accessory structures, s mming p ols, nces, wall , signs, screen rooms and WARNING TO NER: Yo r fa lure to R ord a Notice of Commen improveme s to your pr petty. o ' e of Commencement m hefore th first inspect' n. If you Int o obtain financing, cog as STATE OF OFLOf�Il�� COUNTY F JJ The forgoing instrument was acknowledged me thi day of —mil — Vi Y 20 6 (Name of person Personally Known 1;0' OR Produced Identification Type of Identification Produced LISA MARIE MONTELEONE Commission No. ($Z*Public-state of Florida <e Commission tl GG 190497 m Comm. Expires Feb 27. 202: Revised 07/15/2014 REVIEWS INITIALS room sso uses to nother non eside ial use At may r ult in yo payin twice for le recor d and p ste I o the jobsite with I der or an attor ey before STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this,?)— day of5?4titt4f 20 L by ir� & ►yBPPd�— (Name of person acknowledging) Yalt.trleorNotlublic- State of Florida Personally Known 6Z OR Produced Identification 7voe of Ide iritf1—=pAPt-c1Vc d FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW