HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� 2
Date: �'f l Permit Number: - V�1J
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RECEIVED
Building Permit Application p
Planning and Development Services APR 9 201.9,
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie Co �y
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ResidentIaf' L
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3713 PEBBLE BEACH LANE PORT SAINT LUCIE FL.34952
Legal Description: SEC 25 TWN 36 S RANGE 40 E
Property Tax ID#: 3425-705-0056-000-5 Lot No.
Site Plan Name: Block No.
Project Name: BRUCE GORDON OR CAROYLN GORDON
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.'WORK:
REMOVE EXISTING SHINGLED ROOF. INSTALL TAMKO MOISTURE GUARD DIRECT TO DECK
SHINGLE UNDERLAYMENT. INSTALL TAMKO HERITAGE SHINGLES. INSTALL 2 NEW SUN TEK
SKYLIGHTS.
2/12
CONSTRUCTION INFORMATION:
Additional work toe e orme un er t is permit—check a appy:
HVAC E] Gas Tank []Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1700 SFt. of First Floor: 1700
Cost of Construction: $ 5,975.00 Utilities:Sewer O Septic Building Height: 9FT.
OWNER/LESSEE: CONTRACTOR:
Name BRUCE GORDON Name: GARY MARZO
Address:3717 PEBBLE BEACH LANE Company: GARY MARZO, INC.
City: PORT SAINT LUCIE State:FL Address: 861 A-SW LAKEHURST DRIVE
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State.FL
Phone No.772-834-8641 Zip Code: 34983 Fax: 772465-8829
E-Mail: Phone No. 772-871-2489
Fill in fee simple Title Holder on next page(if different E-Mail: GMARZOINC@AOL.COM
from the Owner listed above) State or County License: CC-C058193
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:,.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _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 thepermit 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 respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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_Signature of Ow Lessee/Ag Signature of C actor/Lic a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -:5T.l clG e, COUNTY OF � GIJC/
The forgoing instru nt•w acknowledged before me The forgoing instrume t was acknowledged before me
this day of � 1 20 &5by this day of 20/-5 by
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(Name of person ackn le ) (Name of pers kno
(Signature of Notary Public-State of Flo ' a) (Signature o Notary Publi State of Florida)
Personally K Personally Known :OR Produced Identification
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Type of Iden:if' 11 r Type of Identi cats ty,Q uce
MY COMMISSIO #FF099550 =.
Commission to... :;off= a I), Commission N = S10"gp99550
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ovt+,,,•° S Mar h 2.01£? - EXPIRES March 9,2018
(407)398-0153 FloridallotaryService.am, I 07 390-01 53 FloridallotaryService,com
Revised 07/15/2014
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