HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: <<° O(P
RECEIVED JAN 261016
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: 3221 LIVE OAK LANE
Legal Description: RIVER OAK ESTATES LOTS 45 AND 46
Property Tax ID#: 2430-502-0045-000-5 Lot No.45&46
Site Plan Name: Block No.
Project Name: LIVE OAK
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK:
TEAR OFF EXISTING SHINGLE ROOF. INSTALL PEEL N STICK UNDERLAYMENT AND NEW
SHINGLE ROOF
CONSTRUCTION'INFORMATION:
Additional work to be nerformed unclertRis permit—check all fnapply_
:
0HVAC Gas Tank E:]Gas Piping _Shutters QWindows/Doors
L-]
Electric El Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3375 Sq. Ft.of First Floor:
Cost of Construction:$ Utilities:05ewer DSeptic Building Height: 1
OWNER/LESSEE: , CONTRACTOR
Name ELAINE BRENNAN Name: BRIAN MALONEY
Address:3221 LIVE OAK LANE Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMORE
Zip Code: 34981 Fax: City: PORT ST LUCIE State:FL
Phone No.NSA Zip Code: 34984 Fax: 7723438358
E-Mail:N/A Phone No. 7723709770
Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFINGLLC@GMAIL.COM
from the Owner listed above) State or County License: CCC1330653
9y
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 the permit 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.
/':KA_/�" — /_13 :2� — S
_Signature of Owner/Le§feent Signature of Contra r rise Holder
STATE OF STATE OFEkA
COUNTY OF FLORIDA 5� r LVA G\a COUNTY OF ORS L �
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2Z day of lm-%•< 20 Eby this V day of 20 1(n by
i Y C- 1 mc-Ad \/
(Name of person ackn led 'ng) (Name of per n acknowledging)
(Signature of N ry P ic-State of Florida) 1a�l1tplil Hwll!! (Sig of Notary Public-State of Florida)
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Personally Known OR Produced 1 11ttQ�ANF Personally Known OR Produced Identificgd BZ RUNK� !
Type of Identification Produced � 0����2,2o1B 9�: hype of Identificati n Produced ��� '• ��
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