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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: / 0 t/, __ --- Building Permit Application FICA' 7 0 2015 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: 8290 SANDPINE CIRCLE PORT SAINT LUCIE FL.34952 Legal Description: SEC:.26/TWN: 36 S/RANGE 40 E Property Tai'ID#: 3426-703-0050-000-0 Lot No. Site Plan Name: Block No. Project Name: DAUME& MILLER RESIDENCE Setbacks Front Back: Right Side: Left Side: RET AILEDDESCRIPTION'OF WORK: REMOVE EXISTING SHINGLED ROOF. INSTALL SOPREMA RESISTO SHINGLE UNDERLAYMEI,,T. INSTALL IKO CAMBRIDGE SHINGLES. INSTALL MAXIM DGCM- SKYLIGHT LOW E-366 /2- tC�'2r CONSTRUCTION INFORMATION Additional work toe e orme under this permit—check a appy: HVAC Ei Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric Plumbing Sprinklers E Generator W1 Roof Total Sq. Ft of Construction: 44, Sq. Ft.of First Floor: Cost of Construction:$ 15,000.00 Utilities:0Sewer Septic Building Height: 13 ft OWNER/LESSEE: CONTRACTOR: Name CHARLES MILLER&BARBARA DAUME Name: GARY MARZO Address:8290 SANDPINE CIRCLE 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.772-879-7921 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. SU:PPLEMENTAL.CONSTR,UCTION 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. s _Signature of Ow er Lessee/AgJ3 Signature of Co t actor/Licen aAolder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE The forgoing instrumept was acknowledged before me The forgoing instrument was acknowledged before me this_&day of QPA12 Z 20,6by this 16 day of OCTOBER 20 by DAVID VANDE41ER DAVID VANDERFLIER (Name of person acknowledging) (Name of personack o. I dging) -� r ti - � r (rS' natL(te i f Notary RdbI1_c_State of Florida) (Signa_ re,.of Notajy,P,ublic=;S.,tate of Florida) Personally Known-.x OR Produced Identification Personal) x OR Produced Identification Type of Ident• Type of I engk. on 8-� •. ..... DAVID V15 S'I MY COMMISSION#FF Commission ©� MY COMMISSICOMFO99550 Commiss k�C EXPIRES March 9, 2018 ' ©F,R,,,,� March 9,2018 "•••�oFF.°,. , . (40Y 3li0-0180 FIOrldeN®te 9sfvic Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS