HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I t/
Date: I�� Permit Number:T a (2 1— 00(ic`fes
AWN
RECEIVED
Building Permit Application JAN /6 1016
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%10CATION.
Address: 5942 ALEXANDRIA CIRCLE, FORT PIERCE FL. 34982
Legal Description: SEC 10 TWN 36 S RANGE 40 E
Property Tax ID#: 3410-503-0253-000-0 Lot No.
Site Plan Name: Block No.
Project Name: DOUGLASS OR ANN MARIE BARKER
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF` CIRK:
REMOVE EXISTING SHINGLED ROOF. INSTALL SOPREMA RESISTO SHINGLE
UNDERLAYMENT DIRECT TO DECK. INSTALL GAF TIMBERLINE SHINGLES.
5/12 PITCH ONE STORY
CONSTRUCTIONnIN'FORMATION -
A itiona work to be nertormed under t ispermit—check all appy:
HVAC Gas Tank ❑Gas PipingMGenerator
Shutters ❑Windows/Doors
11 Electric ❑ Plumbing F7]Sprinklers Roof
Total Sq. Ft of Construction: 3400 S . Ft. of First Floor:
Cost of Construction: $ 10,472.00 Utilities: Sewer 0 Septic Building Height: 13 FT
OWNER/LESSEE 'CONTRACTQR:
Name DOUGLASS OR ANN MARIE BARKER Name: GARY MARZO
Address:5942 ALEXNADRIA CIRCLE Company: GARY MARZO, INC.
City: FORT PIERCE State:FL. Address: 861 A-SW LAKEHURST DRIVE
Zip Code: 34952 Fax: City: PORT SAINT LUCIE State: FL
Phone No.772-672-4026 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.
)A-wv W)Fr< s
_Signature of Own r/Lessee nt Signa ure of C ntractor/ Ice Holder
STATE OF FLORIDA STATE OF LORIDA
COUNTY OF ST.LUCIE COUNTY OF Sr.LUCIE
The forgoing instr as acknowledged before me The forgoing instrument was acknowledged before me
this �i day of 201Lby this 5 day of JANUARY ,20 by
DAVID VANDERF IER DAVID VANDERFLIER
(Name of person ac� ing) (Name of/�e/o�?7�oclgin
(Signature of Notary Public-State of Florida) (Signature of No ary Public-State of Florida )
Personalli, Known x nR Rrnd6i6@4 ldemti ition Personally Known x OR Produced Identification
Type of I rfVk*l on 6rQ0i;Pd1AN DERFLI ER Type of Identification Produced
+S N1Y COMMISSION#FF099550 ,..`Pnro e�: DAVID V
Commissi ANDERE
_ ;=xP =R A arch�5� 8 Commissi ;N
"••For M,..• ISSION#FF099550
..
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