HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2� a �(�• 1p Permit Number: 1
I VED
.
MAR 10 2016
Building Permit Application PERMITTING
Planning and Development Services St.Lucie County, FL
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 lM'PROVEMENT LOCATION
Address: 3317 IRONWOOD AVE
Legal Description: SAVANNA CLUB PLAT3 BLK30 LOT3
Property Tax ID#: 3425-703-0318-000-4 Lot No.3
Site Plan Name: Block No. 30
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFN ORKY
TEAR OFF EXISTING ROOF. INSTALL NEW TAMKO SHINGLES WITH PEEL STICK
UNDERLAYMENT
CONSTRUCTION'INFORMATION.
Additional work toe nertormed under this permit—check all that appy:
HVAC 0 Gas Tank E]Gas Piping Shutters Q Windows/Doors
Electric F] Plumbing ❑Sprinklers EI Generator Roof
Total Sq. Ft of Construction: 2185 S . Ft.of First Floor:
Cost of Construction:$ 4900 Utilities:0Sewer 0Septic Building Height: 1
OWNER/LESS:E'E CONTRACTOR ,
Name MALCON SHEARD Name: BRIAN J MALONEY
Address:3317 IRONWOOD AVE Company: TREASURE COAST ROOFING
City: PORT ST LUCIE State:FL Address: 1816 SW BILTMORE
Zip Code: 34952 Fax:NSA City: PORT ST LUCIE State:FL
Phone No.Nip` 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 GQNSTRUCTION LIEN LAIN 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.
7J I 7...
S
_Signature of Owner/L&ee/aWnt Signature of Contr r/L a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF elk L Qc e
The foroing instrument wa acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 ]�oby this day of M6= ,20 ,a by
(Name of persona now dging) (Name of person ack w dging)
(Signature of Public-State of Florida) (Signature o P blit-State of Florida)
ii
Personally Known OR Produced Identification Personally KnownOR Produced Identification
Type of Identificati Produced Type of Identification Produced 'l�l
commission No. /2Z\1 3`1 �� �gR.... �i,���i Commission No. I Zz"A 3 ~\��gS10NF�A•��''���rri
2078�9�.
941
Revised 07/15/2014 �� FE 1224 4 ::,<Z
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COUNTER REVIEW `�%:IIINL� REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS