HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I f0j/A)TB OMPLETED FOR APPLICATION TO BE ACCEPTED / r
Date: 5 Permit Number.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
`PROFOSD IiVIAROUEMfIVT`LOCAT(OI, , ' r s k axT jk
Address: 380 NE SOLIDA DR
Legal Description: RIVER PARK-UNIT 9-PART C BLK 72 LOT 34
Property Tax ID#: 3419-570-0012-000-4 Lot No.34
Site Plan Name: Block No. 72 _
Project Name:
Setbacks Front Back: Right Side: Left Side:
REROOF-TEAR OFF SHINGLE-INSTALL SHINGLE
CCiNST�tUCTlO�Ut INFORM ►TION1 p3 t t f f 94r 5 Fl 4 d r r 4 8s a 3:
�a, n f ,z, �. .,, sr k�,�� _,.l�,a..�Y „� V��,u. •.-,: W f s.13, � �,.#�,ati ,.� �,�,„ {",�3�a aC ,
Additional wor to be nerrormed underd this h permit-check a appy:
0HVAC Gas Tank r_JGas Piping _Shutters Q Windows/Doors
Electric Plumbing ❑Sprinklers 11 Generator Z Roof
Total Sq. Ft of Construction: 2506 Sq. Ft.of First Floor: 1334
Cost of Construction:$ 8700 Utilities:Sewer E]Septic Building Height: 1
C3UK1t1R/LESS 'rt p CONTRACTOR r t 4 4 k1 ft
,`n.+
Name ROBERT KLEINKOPF Name: BRIAN MALONEY
Address:380 NE SOLIDA DR Company: TREASURE COAST ROOFING
City: PORT SAINT LUCIE State:FL Address: 1816 SW BILTMORE
Zip Code: 34983 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-766-9562 Zip Code: 34984 Fax: 772-343-8358
E-Mail: Phone No. 772-370-9770
Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFINGLLC@GMAIL.COM
from the Owner listed above) State or County License: CCC133065
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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 apermit 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 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.
z5VIP? S
_Signature of—o%&/ /Agent Signature of tr r License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-I- COUNTY OF AA- /_',4c,(
The forgoing instrument wa acknowledged'�b fore me The forgoing instrument wa acknowledged before me
this�[�day of IY119-� 20 !S-by this A day of I�1�9 20 by
(Name of person ackno ledging) (Name of perso7,cknowledging)
(Signature of Not ublic-State of Florida) (Signa a Notary Public-State of Florida).
Personally Known OR Produced Iden`;fi fits%rl� Personally Known OR Produced Ide�j�fiRtlfJq�� _
Type of Identificatio rode �� i Type of Identifica ion Produced �� ROBEo
Commission No. ( e i'•. Commission No. ZV L/ s •( {�a ? oyt2
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DATE
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