HomeMy WebLinkAboutBuilding Permit Application "'ALL APPLICABLE INF M STB fOMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: I Permit Number: 15
•
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 X Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION
Address: 10420 GLADES CUTT OFF RD. PORT ST. LUCIE FL. 34986
Legal Description: SEC 15/TOWN/36 S/RANGE 39 E
Property Tax ID#: 3315-332-0000-000-6 Lot No.
Site Plan Name: Block No.
Project Name: STEPHEN OR KAREN LAMOUNTAIN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE.METAL PANELS ON ROOF. INSTALL 24 GAUGE GALVALUME GULF COAST PBR
PANELS PER SPECIFIACTIONS.
1/12 PITCH
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 5000 S . Ft.of First Floor:
Cost of Construction: $ 20,175.00 Utilities:cnSewer 0Septic Building Height: 18 FT.
OWNERAESSEE: CONTRACTOR:
Name STEPHEN&KAREN LAMOUNTAIN Name: GARY MARZO
Address:4820 STATE RD. 524 Company: GARY MARZO, INC.
City: COCOA State:FL Address: 861 A-SW LAKEHURST DRIVE
Zip Code: 32926 Fax: City: PORT SAINT LUCIE State-FL
Phone No.321-525-6886 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 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.
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_Signature of dwrierl Lessee/Agent Signatyfe of Conteactor/Licerif Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instru ent was cknowledged before me The forgoing instrument was acknowledged before me
this__L day of20 by this day of DECEMBER 20 by
DAVID VANDE41ER �� DAVID VANDERFLIER
(Name of person ack I. dgi ) (Name of rs a e Mg)
'(Signature of Notar Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x sed # Personally Kno
Type of Identificatio P,.ocNiRi � RFLIER Type of Identifia @AVIS V�Nn�
MY COMMISSRFLIER
ION#FF099550 ;• :oma' MY COMMISSION#F 099550
Commission No. �,. ',.•....•_.,. �c
XP14�0arch 9, 2018 Commission No +�;:_;P,.- EXRRES Mar"cPha 2018
(407)398-0153 FloridallotaryService.com (407)399-0153 FlorldallotaryServlce.com
Revised 07/15/2014
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