HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
q SCANNED
Date: -2, t BY Permit Number:
St. Lucie County
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Building Permit Application
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Planning and Development Services
Building and Code Regulation Division 51. Lucie wuncy, Permitting
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: 1900 Bella Vista
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
Install Polystick MTS
Install Lomanco
Pt St Lucie FL 34952
Right Side:
FL#5259-R28
FL#2847-R!10
CONSTRUCTION INFORMATION:
13HVAC U Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 112000
Cost of Construction: $ 52,000.00 (per unit)
Piping
Sprinklers
Lot No.
Block No.
Left Side:
2 Story Appt Building
5/12 Roof Pitch Hip Roof
112 SQ FT
Shutters ❑ Windows/Doors
Generator Z✓ Roof 5/12 Roof pitch
SqI Ft. of First Floor: _
Utilities: LJ Sewer ElSeptic
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 next page (if different
from the Owner listed above)
E-Mail: marzoroofinginc@gmaii.com
State or County License: CCC-1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCfiJ'6*# IEN LAW/ 1400J��
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
Associationbylaws prohibit such
structure. Pleasefl consult with you�r Home owners Association drrevieur deed fr any restrictions which which may a
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. Lucie County Ame me ts.
The following building per appli atre exem t from undergoing a full concurren revie . room additi ns,
mining ols nces, wall signs, screen rooms and accesso uses to nother non elide ial use
accessory structures, s p ,
WARNING TO NER: Yo fa lure to Re ord a Notice of Commence m may r ult in yo payin twice for
" d and p sted o the jobsite
improveme s to your pr perry. o e of Commencement mu a recor
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 of Commenceme
s
ure of Owner/Lessee/Contractor as Agent for Owner i e of Contractor/License Holder "-
STATE OF FLO STATE OF FLORIDA
�� � f COUNTY OF
COUNTY of
The4rgoing instru ent was acknowledged/� fore me The forgoing instru ent was acknowledged before me
thisutjdayof -Xil 20 %�by
th%5W day of 2D%
�bc ��u0. 'S� H�-oe��� '-Cosl�s,la trhvo
person acknowledging )
(Name f person acknowledging)
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re of Notary Public State of FloridaPersonally
(Sig ature of Notary Pub - -State of Florida )
�
Known OR Produced Identification y Known OR Produced Identification
ype of Ide if 'o P o c d
Type of Identification Produced
LISA MARIE MONTELEONE a,,t. ", LISA MARIE MONT01,15 E
Florida ommissio ">x' staler 501
:g'`�Y-'o��=. 'b Puhlic - State of ,a,%S":
Commission No. _ ( Commission 0 GG 190497 '=�e�`yp-;a C°mmissi°np G(s flf➢4
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�.•'.:`occo-..• My Comm. Expires Feb 27,2022 Mycam.n.Es�niresFa6'2Y. 21Y22
°rsa' ter 9�15,
one roug ai
Revised 07/1no/ 2014
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