HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Num
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: 761 LOMAS ST. PORT SAINT LUCIE 34952
Legal Description: SEC 22/TOWN/36 S/RANGE 40 E
Property Tax ID#: 3419-515-0129-000-6 Lot No.
Site Plan Name: Block No.
Project Name: DONALD A. REED JR./ESTATE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING MODIFIED BITUMEN ON FLAT ROOF. INSTALL NEW UNDERLAYMENT,
TAPERED INSULATION,DRIP EDGE AND JM MANVILLE MODIFIED BITUMEN AS PER ENGINEER
LETTER.
1/2 / 12 PITCH
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 800 S Ft. of First Floor:
Cost of Construction:$ 5,200.00 Utilities:0Sewer Septic Building Height: 13
OWN ER/LESSEE: CONTRACTOR:
Name DONALD A. REED ESTATE Name: GARY MARZO
Address:761 LOMAS ST Company: GARY MARZO, INC.
City: PORT SAINT LUCIE FL. State:FL Address: 861 A-SW LAKEHURST DRIVE
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State:FL
Phone No.772-678-2977 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.
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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 payigg 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.
2& !V�'_ '" s
_Signature of Owner/Lesse Agent Signature of Contract r/License HoMer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 /�by this ' day of DECEMBER 20 by
DAVID VANDERP�IER DAVID VANDERFLIER
(Name of person acknowled i ) (Name of person arnowled
(Signature of Notary Public-Sta of Florida) (Signatur f Wodry Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. DAVibaYANDERFLIER Commissi rt:•-e9"°%% .'•: DA1110 V NDER(F 9t: _(
_• •"'- MY COMMISSION#FF099550 '•i MY COMMISSION#FF099550
Revised 07/15/201 oon 398.0153 FloridallotaryService.com (407)398-0153 FloridallotaryService.com
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