HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST
BE )COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11- iIg Permit Number:
a
RECEDE®
Building Permit Applicati n FEB 112019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x e�id�l#frF County, FL
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1900 Bella Vista Way, CLUBHOUSE Pt St Lucie FL 3495
Legal Description:
Property Tax ID #: 3414-501-1509-050-8
Site Plan Name:
Project Name: Bella Vista
Setbacks Front Back: _
I DETAILED DESCRIPTION OF WORK:
Remove Existing Shingle from
Install Polystick MTS
Install Lomanco
Install IKO Dynasty Shingles
Right Side: Left Side:
54 SQ FT
5/12 Pitch
SCANNED
BY
Lot No.
Block No.
CONSTRUCTION INFORMATION:
itiona wor to e e orme under t—checkispermit a apply:
❑HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric Plumbing ❑Sprinklers Generator Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 5400 S Ft. of First Floor:
Cost of Construction: $ 25,000 Utilities: Sewer O Septic Building Height: 12
OWNER/LESSEE:
CONTRACTOR:
Name Rich Properties LLC
Name: Joshua Schroeder
Address:2562 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: marcoroofinginc@gmail.com
State or County License: CCC-1331207
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION?L:IEN-LAW INFORIVIACfON:
Name: _
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip. Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certifythat 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
in accordance with the approve s, the FloEW
The following building per appl ation re ex(
accessory structures, s mmi I p ols, nces, wo
WARNING TO NER: Yo failure to
improveme s to your pr perry. c
before thpllrst inspect n. If you into
rnmmeincine work o ecording yoof I
as
)ermit, I do hereby agree that I will, in all
6&ilding Codes and St. Lucie County Ami
Ti from undergoing a fu/accesso
1 , signs, screen rooms an)rd a Notice of Commeof Commencement obtain financing, co
STATE OF FLOW
COUNTY OF —
The forgoing instrrri nt was acknowledged before me
this ]I day of by
(Name of person acknowledging)
Personally Known 1/ OR Produced Identification
Type of Identification Produced _ _ _ _ W —
LISA MARIE MONTELEONE
(&Ia* Public - State of Florida
Commission 4 GG 190497
M, Comm. Expires Feb 27. 202;
Commission No.
Revised 07/15/2014
perform the work
room
nziai use
It in yraWev
paym twice for
and ped o the jobsite
or an before
STATE OF FLORIDA
COUNTY OF t �Y_ Zaell e
The forgoing inst ��,meennt was acknowledged before me
this day of_ 20 by
Sc1�,rc�eo-
(Name of person acknowledging)
(gigiAture of Notary Public- State of Florida )
of
Known 4 OR Produced Identification
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