HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/16 Permit Number:
•
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
PR00OSED IMPROVEMENT-LOCATION
Address: 7503 PACIFIC AVE
Legal Description: LAKEWOOD PARK UNIT 4 BLK39 LOT 22
Property Tax ID#: 1301-604-0225-010-7 Lot No.22
Site Plan Name: Block No. 39
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION QF WORK
TEAR OFF EXISTING ROOF. INSTALL NEW GAF SHINGLES WITH PEEL N STICK
UNDERL.AYMENT q :
CONSTRUCTION INFORMATION:
Additional worK toe e Orme under this permit—check a that appy:
HVAC 11 Gas Tank Gas Piping 1I _Shutters E]Windows/Doors
Electric 0 Plumbing []Sprinklers Fi Generator ZRoof
Total Sq. Ft of Construction: 1886 5 ]Ft of First Floor: 1886
Cost of Construction:$ 8000 Utilities.
Sewer FiSeptic Building Height: 1
OWNER/LESSEE <` CONTRACTOR:
Name MICHEAL BOYLE Name: BRIAN J MALONEY
Address:7503 PACIFIC Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMORE
Zip Code: 34951 Fax:N/A City: PORT ST LUCIE State:FL
Phone No. 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,CONSTRl1CTION LIEN LAW INF,ORMATION':
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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_Signature of Owner/L see/Agent Signature of Contra or/License Holder
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF St Lu< G� e COUNTY OF S-� 2_uvz e
The forgoing instrume was acknowledged before me The forgoing instru ent was acknowledged before me
this.D day of 20 t�by this�O day of 20 Jf,—by
(Name of person ackno d -ng) (Name of person ac owledging)
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Si nature of N blic-State of F °
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Personally Known OR 13raTi� �9 @P1f+fr tion Wig. Personally Known 2 Produced I' nti� 20jB
Type of Identifica "on Produced >� 12'201g Fs'•* Type of Identificati n Produced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS