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BUILDING PERMIT APPLICATION
r ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ° SCANNED Permit Number: �� c� 1 -d Co (Oro BY St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division . 2300 Virginia Avenue, Fort Pierce FL 34982 ST. I Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Resi e PERMIT APPLICATION FOR: Roof - 5�'\Q 5 Address: 1900 Bella Vista Way, Unit 5 Building O, P, Q Legal Description: Property Tax ID #: 3414-501-1509-050-8 Site Plan Name: Project Name: Bella Vista Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Remove Existing Shingle from Parking Garage Install Polystick MTS Install Lomanco Install IKO Dynasty Shingles Right Side: 51 SQ FT 5/12 Pitch Left Side: Pt St JAN 31 2019 FL 34952 Lot No. Block No. CONSTRUCTION INFORMATION: III L_JHVAC "Gas Tank UGas 11 Electric El Plumbing []Spr Total Sq. Ft of Construction: 5100 Cost of Construction: $ 23,400.00 Piping Shutters ❑ Windows/Doors Generator Z Roof 5/12 Roof pitch S Ft. of First Floor: _ Utilities:Sewer 0 Septic Building Height: 12 OWNER/LESSEE: CONTRACTOR: Name Rich Properties LLC Name: Joshua Schroeder Address:2552 Peters Rd, Ste B Company: Matzo 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. ,r v .. Sib PPLWENTAL'CONSTRUGTI•©N UEN LAW 1NF�i�i4IFAT 10 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 w OwnersAssociation rules,aprohibit such your deed fr any which maor structture. Pleafse`consulanyrestrictions ithpyour Home Ow Associiation 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 approve s, the Flori wilding Codes and St. Lucie County Ame a ts. The following building per appli at re exem t from undergoing a full concurren revie . room additi ns, ols nces, wall screen rooms and accesso uses to pother non widen ial use accessory structures, s mming p ,signs, WARNING TO NER: Yo fa lure to Re ord a Notice of Commence nt may r ult in yo pa in twice for ' recor d and p sted o the jobsite improveme s to your pr perty. o e of Commencement mu a before th first inspect* n. If you int o obtain financing, co ult with I der or an attor ey before comm cin work o ecordin o r Notic f Commenceme s Owner/Lessee/Contractor as Agent for Owner I e of Contractor/License Holder ure of STATE OF FLO STATE OF FLORIDA L r�iale COUNTY OF C�IU6he COUNTY OF was acknowledged before me The forgoing instrument was acknowledged_before me The forgoing instrument day of 'v1IA� 20 -by this day of Z_Q �_/� • 20 by this SQ .G�I.I �Cil"�U'71�ri✓t `= L n In L. vnP�� St7s,'1^I0r`l (Name of person acknowledging) (Name of person acknowledging) I ature of otary Pub State of Florida) ( ign ture of Notary Public- State of Florida ) d Personally Known OR Produced Identification Personally Known OR Produced Identification— ,, ype of Ide 'f' P o c d Type of Identification Produced LISA MARIE MONTELEONE i MONTELEQ� WFMfMb�l ,., �;i;.., Commission No. -&"O/Public-5tateof Florida ommissio .4°s"• Commisvone GQ 146d9i 'R commisslon4rG190497 �^+ r +� Comm.Fxoires Feb— 2012 _ pAyComm.ffipir¢s P@15'2Y. T621 .``'.?'oc:s�..: My an a roug a i t>nn' ter silt Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW COUNTER REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS