HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA LE INF9 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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
PROPOSED IMPROVEMENT LOCATION:
Address: 8202 East Bitterbush Lane, Port Saint Lucie FI. 34952
Legal Description: Savanna Club Sec: 25 Twn: 36S Range 40E
Property Tax ID#: 3425-701-0072-000-1 Lot No.
Site Plan Name: Gardner Residence Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing shingled roof. Install Tamko Moisture Guard Plus shingle underlayment. Install
Atlas Pinnacle Shingles per code. Install 2 Maxim CMA skylights.
CONSTRUCTION INFORMATION:
Additiona I work to be erformed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping Shutters • Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 1750 SFt.of First Floor:
Cost of Construction:$ 5,750.00 UtilitiesSewer 0Septic Building Height: 13 ft.
OW N ERAESSEE: CONTRACTOR:
Name DONNA GARDNER Name: GARY MARZO
Address:8202 E. BITTERBUSH LANE Company: GARY MARZO, INC.
City: PORT ST. LUCIE State:FL. Address: 861 -A SW LAKEHURST DRIVE
Zip Code: 34952 Fax: City: PORT ST. LUCIE State:FL.
Phone No.772-607-2744 Zip Code: 34983 Fax: 772-465-8829
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 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.
1 ,r s
_Signature of Ow r Lessee/Agen Signature of on ractor/Licen Holder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF ST.LUCIE CO UNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 /Qby this 15 day of SEPTEMBER 20 by
GARY MARZO 1 GARY MARZO
(Name of person acknow d 'ng) (Name of person acknowl. d
(Signatur of Notary lic-State of Florida) (Signature of Notary Pu -State of Florida)
Personally Kno n x•a�P•..,, i Personally Kno n ro uc 1 t'
Type of Identifi
M#r�11 o>fira Type of Identifi ""' 1�d(tlL�
_�• '•i `" MY COMMISSIO
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!F dQ ' EXPIRES 9, 2018 °
Commission No �••..,oFn,.••••'' N(�al� Commission N °•.,��rR�;.= EXPIRES Mat 2A 2016
(407)398-0153 FloridallotaryService.com (407)398-0153 FloridallotaryServlce.aom
Revised 07/15/2014
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