HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/16 Permit Number:
r ' 5. m RECEW-ED FEB 2 2 2016
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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: 8114 9th HOLE DRIVE
Legal Description: LINKS AT SAVANNA CLUB BLK42 LOT17
Property Tax I D#: 3425-707-0222-000-6 Lot No.17
Site Plan Name: Block No. 42
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED°D.ESCRIPTION OF UVORK:
TEAR OFF EXISTING ROOF. INSTALL NEW SHINGLES WITH PEEL N STICK UNDERLAYMENT
CONSTRUCTION INFORMATION,
Additional work toe pertormed under this permit—check a t t appy:
HVAC 0 Gas Tank ❑Gas Piping In Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers E]Generator Roof
Total Sq. Ft of Construction: 2412 Sq. Ft.of First Floor:
Cost of Construction:$ 7500 Utilities:USewer Septic Building Height: 1
OWNER/LESSEE:, ` `.CONTRACTOR:
Name GARY BREWER Name: BRIAN J MALONEY
Address:8114 9TH HOLE DRIVE Company: TREASURE COAST ROOFING
City: PORT ST LU CIE State:FL Address: 1816 SW BILTMORE
Zip Code: 34952 Fax:N/A City: PORT ST LUCIE State:FL
Phone No.772-344-1711 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
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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.
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_Signature of OwnW1 L ee/Agent Signatur6 of Con r cto 'cense Holder
STATE OF FLORIp STATE OF FLORIDA
COUNTY OF .�t�Ltc i C_ COUNTY OF_& L- &6 e
The f9rgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 16 day of 20 l(- by this /1� day of LD 20 1 G by
A� � �loY.e. Jin o.� � VI/l�to►�..,/
(Name of perWacnowleging) (Name of person acknowledging)
(Signature op,
otary ublic-State of Florida) (Signat ofo ary Public-State of Florida)
Personally Known OR Produced kOnnfiRtion Personally Known OR Produced I Qfl
Type of Identificati n Produced r;��`�R R I I /�,�— Type of Identificati n Produced �,�`0 "° °''•. ��
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Commission No. �•o�t� � °q% Commission No.
Revised 07/15/2014 `.• #F� 80
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DATE
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