HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ll
Date: 2/2/16 Permit Number: l� O
s. R E C E IVE
Building Permit Application FEB 2 9 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division Sl. 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 IMPROVEMENT LOCATION ;
Address: 483 PELICAN SHOAL
Legal Description: TROPICAL ISLES UNIT G-22
Property Tax ID#: 3410-508-0175-000-4 Lot No.22
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
M, ,,
TEAR OFF EXISTING ROOF. INSTALL NEW TAMKO SHINGLES WITH PEEL N STICK
UNDERLAYMENT
CONSTRUCTION;INFORMATION
Additional work toe e Orme under this permit-check a y:
that app
HVAC 13 Gas Tank E]Gas Piping UShutters Q Windows/Doors
1 Electric 0 Plumbing Sprinklers F�Generator Roof
Total Sq. Ft of Construction: 2097 S . Ft.of First Floor:
Cost of Construction:$ 5000 Utilities: Sewer Septic Building Height: 1
OWNER/LESSEE ,
" ,,b NO
Name JOHN ANTRIM Name: BRIAN J MALONEY
Address:483 PELICAN SHOAL Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMORE
Zip Code: 34982 Fax:NSA City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34984 Fax: 772-343-8358
E-Mail:NIA 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 LAVV]WO,RMATION:
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 thepermit 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
commencingwork or recordingour Notice of Commencement. /
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S
_Signatur of Owne a Agent Signat e o Cont to L' ense Holder
STATE OF FLORI , STATE OF FLORID
COUNTY OF T LLLG�e COUNTY OF L.A-c%t
The forgging instru int was acknowledged before me The forgoing instrument ,was acknowledged before me
this day of 20 LI ,by this orLtA day of 20 _&P by
I Alo,\ay-su,1 'o
(Name of person ack le ' g) (Name of person ledging)
(Signature of a ublic-State of Florida) (Signatur f N ary blic-State of Florida)
0%� %IIIIIII1flJiJi�i 1111l1i11111iJi
Personally Known OR Produg89 Id%@J-4jt4T. Personally Known OR Produced Identifi e gg
Type of Identificati n Produced ••'OMMISsj'•.•�L '�,,, Type of Identification Produced r\�� _
VIM
Commission No. a (Sem �° 9i _ Commission No. �``AL
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3ennce;.•'�Pe�.' i lhN �•
Revised 07/15/2014 �JIWIJTATE OFIIIJJ%�`����`~ Se
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS