HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date: y'I I�%
RECEI`:r0 APR 112016
Permit Number:
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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 - -V'
PROPOSED IMPROVEMENT LOCATION:
Address: 7320 Marsh Terrace
Legal Description: Marsh Landing at The Reserve Phase One Lot 35(MAP 33/21 N)(OR831-1956; 3384-992)
Property Tax ID#: 3321-804-0042-000-9 Lot No.35
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing tile roof. Re-nail plywood and apply TU Max self adhering modified tile
underlayment. Install new flashing and Entegra flat tile.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank []Gas Piping _Shutters E]Windows/Doors
11 Electric 0 Plumbing O Sprinklers 11 Generator Roof
Total Sq.Ft of Construction: 3700 S Ft.of First Floor:
Cost of Construction:$ 18,000.00 Utilities:Sewer E]Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
Name Arthur Brown Name: David Packard
Address:7320 Marsh Terr. Company: Packard Roofing&Waterproofing, Inc.
City: Port St.Lucie State:FL Address: 2182 NW Reserve Park Trace
Zip Code: 34986 Fax: City: Port St. Lucie State:FL
Phone No.772-467-0721 Zip Code: 34986 Fax: 772-468-9978
E-Mail: Phone No. 772-468-3723
Fill in fee simple Title Holder on next page(if different E-Mail: ssmith@packardroofing.com
from the Owner listed above) State or County License: CCCA17517
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 Counter 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.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA Ly��
COUNTY OF—4 )rL O c COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument„was acknowledged before me
this day of A C 20 �i_Sby this `f lay of INQ 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publi -State of Florida) (Signat—u of Notary Public-State of Florida)
Personally Known OR Produced'An ersonally Known ✓/ OR Produced Identification
Type of Identification Pro L6EAN of Flonda ype of Identification Produced
Notary P° fres Dec t ' ads
Commission No. ^E :: My gyp•ExP #EE 761 mmissio ' i��SIEPMAWE P.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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