HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
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: 93 S. LAS OLAS DRIVE, JENSEN BEACH 34957
Legal Description: SEC: 11 TWN 37 S. RANGE 41 E
93 S. LAS OLAS DRIVE JENSEN BEACH FL. 34957
Property Tax ID #: 4511-500-0038-000-1
Site Plan Name:
Project Name: RALPH W. SCHWERTZ, JR
Lot No.
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 11
REMOVE EXISTING SHINGLED ROOF. INSTALL SOPREMA RESISTO SHINGLE
UNDERLAYMENT DIRECT TO PLYWOOD DECK. INSTALL OWENS CORNING OAKRIDGE
SHINGLES PER CODE. 3/12 PITCH
iditional worK to be
HVAC
nertormeci
Gas Tank
under tnis permit — cnecK aii
[]Gas Piping
apply:
_ Shutters
Company: GARY MARZO, INC.
Electric
❑ Plumbing
City: PORT SAINT LUCIE State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-465-2489
E -Mail:
Sprinklers
E -Mail: GMARZOINC@AOL.COM
Generator
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 6,450.00
SFt. of First Floor: _
Utilities:Sewer Septic
❑ Windows/Doors
W1Roof
Building Height: 13 FT
OWNER/LESSEE:
CONTRACTOR:
Name RALPH W. SCHWERTZ JR.
Name: GARY MARZO
Address: 93 S. LAS OLAS DRIVE
Company: GARY MARZO, INC.
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 772-214-6320
Address: 861 A- SW LAKEHURST DRIVE
City: PORT SAINT LUCIE State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-465-2489
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: GMARZOINC@AOL.COM
State or County License: CC -C058193
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
commencing worKp(go`1r recoraing your INotice of commencement.
s
r J
_ Signature of b4eri Lessee/A nt Signature of on acto /Licen e H Ider
STATE OF FLORIDA STATE OF FL IDA
COUNTY OF ST. LUCIE COUNTY OF ST. LUCIE
The forgoing instru nt was acknowl edged, before me
this =a,Y day of 20 /61by
DAVID VANDERFLIER
(Name of perso cknfnrledgin )
(Signature of Notaly Pu4-bli - ate of Florida )
Personallyg!m_
��i�r)itiliEi n
Type of Ided 99550
IRES MarcjhSp9,, 2018Commissiou ofary�e MAIM
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this 28 day of MARCH 20 by
(Name of p'rson a kii I ging)
(Signatt.Veof Nbta blic- State of Florida )
Personally x OR Produced Identificati
Type of Ide tifoa;s_;Pr�cc d VANE) r::FqFL__
Commissio �= MY COMMISSION # ffPN?P50
Forrvo.•`iS
LXPIHES March 9, 2018
(407) 398-0153 FloridallotaryService.com
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS