HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 212/16 Permit Number: �Gc)-a O4 0
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RECEIVED FEB 24 2716
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: 303 W ARBOR AVE
Legal Description: RIVER PARK UNIT 1 BLK 9 LOT 20
Property Tax ID#: 3419-501-0108-000-0 Lot No.20
Site Plan Name: Block No. 9
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ry_ .
TEAR OFF EXISTING ROOF. INSTALL TAMKO SHINGLES WITH PEEL N STICK
UNDERLAYMENT
CONSTRUCTION INFORMATION:
iti onal work to be performed un er t is permit—check all that appy:
OHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers 11 Generator �Roof
Total Sq. Ft of Construction: 2647 Sq. Ft.of First Floor:
Cost of Construction:$ 7800 Utilities: Sewer.0Septic Building Height: 1
OWNERAESSEf e CONTRACTOR:
Name JAMES RICERETO Name: BRIAN J MALONEY
Address:303 WAR BOR AVE Company: TREASURE COAST ROOFING
City: PORT ST LUCIE State:FL Address: 1816 SW BILTMORE
Zip Code: 34983 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.
SUPPLEMENTAL GQNSTRIJCTION LIEN'LA1IU INFORMATION:
.
r,
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
commencin work or recording our Notice of Commencement.
73—� W�_ ��_
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_Signature of Owne ss gent Signat re o Cont or se Holder
STATE OF FLORID '% STATE OF FLORIDA
COUNTY OF C S LVJ'c• COUNTY OF__S± LL,c7% f
The forgoing instrunpent was acknowledged before me The for oing instru ent was acknowledged before me
20 by thiso� day of 20 by
this�day of
1O\n__._ CAG LNE \ [o
(Name of person ac d ' ) (Name of so cknowledging)
(Signature of N aryb c-State of Florida) ( f Notary Public-State of Florida)
Personally Known�OR Produced Identification Personally Known OR Produced Identification
Type of Identificatiah Produced Type of Identification Produced
�p 'ERT 90"",,��
Commission No. eaCommission No.
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DATE
COMPLETE
INITIALS