HomeMy WebLinkAboutBuilding Permit Application 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1� 1 X15 Permit Number: I Slated 11l
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RECEI`."7D DEC 0 7 2015
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 - sk,n �K SW'% k+
PROPOSED IMPROVEMENT LOCATION:
Address: 3820 SANDLACE CT., PORT ST LUCIE FL. 34952
Legal Description: THE PRESERVE @ SAVANNA CLUB BLK 53 LOT 14
Property Tax ID#: 3425-706-0284-000-5 Lot No. 14
Site Plan Name: Block No. 53
Project Name: GEORGE OR CHERYL TRIPP
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLED ROOF. INSTALL SOPREMA RESISTO SHINGLE
UNDERLAYMENT. INSTALL IKO CAMBRIDGE ARCHITECTURAL SHINGLES. INSTALL 2 NEW
MAXIM SELF FLASHING SKYLIGHTS PER CODE. ?/ ,fir{ 1
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1733 SFt. of First Floor:
Cost of Construction:$ 6,250.00 Utilities:cnSewer Septic Building Height: 13 FT.
OWNER/LESSEE: - - CONTRACTOR:
Name GEORGE OR CHERYL TRIPP Name: GARY MARZO
Address:3820 SANDLACE CT. 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.772-344-8215 Zip Code: 34983 Fax: 465-8829
E-Mail: Phone No. 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.
s
Signature f wrier/Less Agent Signature of_o tractor/Li ase Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instrumgnt was acknowledged bbaore me The forgoing instrument was acknowledged before me
this i day of /O2A/J?AP�(/ 2C l�-Dy this 4 day of DECEMBER ZO by
DAVID VANDE41ER DAVID VANDERFLIER
(Naperson ackno dging.) (Name o erson I ed
nat re of NotaryjPublic-State of Florida) (Signature df-Nota7- - ublic-State of FloridaPersonally Know x.••"'a.P "O u e I entl Ica Ion Personally Known ion
Type of Identifica i0 P die I�VANDERFL I Type of IdentificatSB' 'c DOMMISSION#FF099550 � -RJo; M ISI
. EXPIRES I h 9, 2018 Commission No. '„ o cv�o,.• xPI�E N#FFO9g550
Commission No. 5"�' oF ,••• Ma ch 9,
(407)398-0153 Florldallota service.com (407)398-0153 ry 2018
ry Florldallota service.com
Revised 07/15/2014
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