HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/16 Permit Number:� _ 3 ng
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Building Permit Application
FEB 0 4 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PR"OPOSED IMPROVEMENT LOCATION:
Address: 272 NE SOLIDA DRIVE
Legal Description: LOT 24 BLK 72 UNIT 9 PARTC
Property Tax ID#: 3419-570-0002-000-1 Lot No.24
Site Plan Name: Block No. 72
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIOWOF:WORK:' .
TEAR OFF SHINGLES ROOF. INSTALL NEW SHINGLES j'/12
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check a MShutters
appy:
HVAC Gas Tank []Gas Piping _ Windows/Doors
Electric 0 Plumbing ❑Sprinklers E]Generator, Roof
Total Sq. Ft of Construction: 1918 S . Ft.of First Floor:
Cost of Construction:$ 12000.00 Utilities:Sewer U Septic Building Height: 1
OWNER/LESSEE: :,CONTRACTOR:. .
Name MARY KEESEE Name: BRIAN J MALONEY
Address:272 NE SOLIDA DRIVE Company: TREASURE COAST ROOFING
City: PORT ST LUCIE State:FL Address: 1816 SW BILTMORE
Zip Code: 34982 Fax:NSA City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34984 Fax: 772-343-8358
E-Mail:NSA Phone No. 772-370-9770
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
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. C Q Q u
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.
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_Signa ure of Ow /Les /Agent Signature of Contract /Lic Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 - L L,,cZ(f COUNTY OF S�-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this--a day of !F4.) 20 ]6 by this-day of 20 by
O� � cnldl'C {lU✓� C v+�i.�.
(Name of person ackno edgi g) (Name of persona edging)
o�\yS4t41iHf!!fl/l
(Signature of ary u ic-State of FI` da (/�'%rrr (Signatu of Notary Public-State of Florida)
.GpMMI1 �'>�. �"111111111b/l1/
Personally Known OR Prod=gdfd�nt*llcatl � Personally Known OR Produced I 1�i6�9(/,!/si,_
Type of tdentificati n roduced Q. N = Type of Identificati n Produced ���� 1SSl ''•.F`'ii
x' 122434 � = l ZZ� 3yay12?0'�A�'
Commission No. 2 �9��, dedhN. Q Commission No. =� al rMt
��irGel/Nary S' AFF 122434
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Revised 07/15/2014 'r�hAG•:N,J;n ..'.••��o�`
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS