HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 15 Permit Number: `�d rP
RECEV. 7D JUN 17 N
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
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PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION':
Address: 8390 Hidden Pines Rd. Fort Pierce FI.34945
Legal Description: Hidden Pines Estate Blk A Lot 6
2323-701-0006-000-2
PropertyTax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
Remove existing shingled roof. Install Tamko Moisture Guard direct to deck shingle underlayment.
Install new drip edge. Install new Tamko Heritage shingles per code.
QA
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E] Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 3865 SFt. of First Floor: 3865
Cost of Construction:$ 12,500.00 Utilities:n Sewer[]Septic Building Height: 13 ft.
OWN ER/LESSEE: CONTRACTOR:,
Name Kevin or Diane Hendrickson Name: Gary Marzo
Address:8390 Hidden Pines Rd Company: Gary Marzo, Inc.
City: Fort Pierce ' State:FI_ Address: 861 A-SW Lakehurst Drive
Zip Code: 34945 Fax: City: Port St. Lucie State:Ff.
Phone No.772-461-0558 Zip Code: 34983 Fax: 772-465-8829
E-Mail: Phone No. 772-465-2489
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 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.
Adum 'Iklt� s
_Signature of caner/Lesse / ent Signature of Co tra for/License o er
STATE OF FL RIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrurrApt was acknowledged before me The forgoing instrument was acknowledged before me
this_LJ day of 20 /5:by this 17 day of June 20 by
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(Name of person acknowledging) i (Name of person acknowledging)
«x(Sig�nat o� 'ot`�ar�Public-State of Florida) (Signature of o�ry P I' ate of Florida)
y %.,..,..p�e, .�� 'vA1VD1tFL�� Personally K11 .,BP` S A1AI) t ?t.�L§l,4 n
Personal) Kno
Type of Identific tcjn o: c Type of Id i %. igrtiPi li j� �fF.=B
.9141 e",!soF EXPIRES
Commission No OF.�`O"' EXPIRES IV� Commissi ry�j"'3' iViarch5egg
9,2018
or idallotaryService.com _ taryService.cam
Revised 07/15/2014
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