HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
4
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
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Address: 95 S. LAS OLAS DRIVE, JENSEN BEACH 34957
Legal Description: SEC: 11 TWN 37 S. RANGE 41 E
95 S. LAS OLAS DRIVE JENSEN BEACH FL. 34957
Property Tax ID #: 4511-500-0037-000-4 Lot No.
Site Plan Name: Block No.
Project Name: BARRATT GORMAN
Setbacks Front Back: Right Side: Left Side:
REMOVE EXISTING SHINGLED ROOF. INSTALL SOPREMA RESISTO SHINGLE
UNDERLAYMENT DIRECT TO PLYWOOD DECK. INSTALL OWENS CORNING OAKRIDGE
SHINGLES PER CODE. 3/12 PITCH
Additional work toe nertormed under this permit —check a appy:
HVAC1:1 Gas Tank E]Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1800 S. Ft. of First Floor:
Cost of Construction: $ 6,150.00 Utilities:cnSewer Septic Building Height: 13 FT
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'M MEME
:- - ...:
Name BARRATT GORMAN
Name: GARY MARZO
Company: GARY MARZO, INC.
Address: 95 S. LAS OLAS DRIVE
City: JENSEN BEACH State: FL
Address: 861 A- SW LAKEHURST DRIVE
City: PORT SAINT LUCIE State: FL
Zip Code: 34957 Fax:
Phone No. 315-529-1035
Zip Code: 34983 Fax: 772-465-8829
E-Mail:
Phone No. 772-465-2489
Fill in fee simple Title Holder on next page ( if different
E-Mail: GMARZOINC@AOL.COM
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State or County License: CC-C058193
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
MORTGAGE COMPANY:
_ Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name:
REVIEW
REVIEW
Name:
REVIEW
Address:
REVIEW
DATE
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
COMPLETE
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
INITIALS
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 vour Notice of Commencement.
_ Signature ofw er/'Lesse / gent
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this day of /1 J(lf1A%1J 20 Baby
DAVID VANDERFLIER
(Name of pe7y/o�w/'
(Signature of Nota -y Publicr'..&,fate of Florida )
Personal ion
Type of I7E�I�k'�M�ApOxVICPIJAERFLIER
MY COMMISSION #FF099550
Commis //��,,,�CvotV7GC RAorrF-: 6Y�RV1R
Revised 07/15/2014
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Signature of C tr ctor/Licens older
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this 28 day of MARCH 20 �r, by
DAVID VANDERFLIER
(Name of -person acknowledging )
(Signature of' Notary Public- State of Florida )
Pers(
Type
BE MY COMMISSION #FFO�
Commi s'te . go
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398-0153
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS