HomeMy WebLinkAbout Corrected Building Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/16 Permit Number:
Mai
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:IMPROVEMENTSWCATION e:
Address: 7107 PALOMAR PARKWAY
Legal Description: LAKEWOOD PARK UNIT 12-A BLK181 LOT9
Property Tax ID#: 1301-615-0239-000-9 Lot No.9
Site Plan Name: Block No. 181
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK
TEAR OFF EXISTING ROOF. INSTALL SHINGLS WITH PEEL N STICK UNDERLAYMENT
CON STRUCTIpO'U INFORMATION
Additional work to be nertormed under this permit—check all that apply:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers [i Generator Roof
Total Sq. Ft of Construction: 2410 Sq. Ft.of First Floor:
Cost of Construction:$ 6000 Utilities: Sewer 0Septic Building Height: 1
OWNER/LESSE'E CONTRACTOR
Name MICHAEL BOYLE Name: BRIAN J MALONEY
Address:7503 PACIFIC AVE Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMORE
Zip Code: 34951 Fax:Nip` 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.
SUPPLEMENTALCONSTRUCTION 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 orlecording your Notice of Commencement.
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_Signatu of wne es a gent Signature o Co racto ens o er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L kc COUNTY OF `�1 cr�r
The fog,(( oing instrum "t as acknowledged before me The forgoing instru n was acknowledged before me
this ;L day of 20 (�_Iby this aA day of 20 16 by
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(Name of person acknoyr (Name of person ging)
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(Signature of No lic-State of Florida) (Signature of tar ublic-State of Flom' Te�90i4
Personally Known OR Prod uCR'Q 90N11��w Personally Known OR Produci I't n�t7ic��ildt3� •c��
Type of IdentificatiorfProduced ..... B i Type of Identificati n Produced =a. —•
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Commission No. �a:• (Seaua),!o��G Commission No. thru
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Revised 07/15/2014Iff.,s�• S
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS