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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r q Date: 2/2/16 Permit Number: f F 110 O© ` t � _ - IIfE 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 PROPOSED:IIVIPROVEMENT LOCATION: Address: 590 BARB ANN LANE Legal Description: LA BUONA VITA COP UNIT/LOT55(3736-1678) Property Tax ID#: 3426-664-0055-000-7 Lot No.55 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF VIIORK. TEAR OFF EXISTING ROOF. INSTAL EW SHINGLE ROOF WITH PEEL N STICK UNDERLAYMENT q: 1,2 CONSTRUCTION INFORMATION: Additional work toe e orme under this permit—c ec a t a apply: HVAC 11 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors U Electric 0 Plumbing []SprinklersE]Generator W/l Roof Total Sq. Ft of Construction: 1988 Sq. Ft.of First Floor: Cost of Construction:$ 5,000 Utilities:11Sewer Septic Building Height: 1 .OWNER/LESSEE'', - 'CONTRACTOR: Name JAMES WHITE Name: BRIAN J MALONEY Address:590 BARB ANN LANE Company: TREASURE COAST ROOFING City: PORT ST LUCIE State:FL Address: 1816 SW BILTMORE Zip Code: 34952 Fax:N/A City: PORT ST LUCIE State:FL Phone No.772-209-1391 Zip Code: 34984 Fax: 772-343-8358 E-Mail:N/A 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- DESIGN ER/ENGI NEER: NFORMATION: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. /_�ij /V)-- ��4-All— S _Signature of owner"seel<ent Signature of Conr ctor/ nse Holder STATE OFF LO Dq STATE OF FLORIDA COUNTY OF LSC t COUNTY OF Sit- L V1 C►� The forgoing instru n was acknowledged before me The forgoing instrument was acknowledged before me this�day of 20 Eby this 04, day of &�-, 20 12 by MA�ncxv 6 l4Y'e�, (Name of person Howl ging) t (Name of perso kno edging) (Signature010 ota blic-State of Florida) (Signat of N Public-State of Florida) PersonallyKnown R Produced Identification Personally Known OR Produced Identification Y Type of IdentificatiXnP_rodu0ced Type of Identificat on Produced U \\��ttt 1Jlli�� SRT BRUN Commission No. !ZZ`� \ \_SAT gRUN/��ii��i Commission No. Z 2�i (Sea �\Q��gSI01yF � •� Q� gig,lON F,�p9• �O�a��2.2p��O9� ss Revised 07/15/2014 - 7941122434 $FF 122434 Q . o= 's�' el Wari REVIEWS FRONT ZONINig9Y �?� PLANS VEGETATION SEATURTLE 1�1V� /1eWV1�� COUNTER REVIEW q��iij REVIEW REVIEW REVIEW RE t DATE COMPLETE INITIALS