HomeMy WebLinkAboutBuildling Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
s
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: 3839 SANDLACE CT., PORT SAINT LUCIE FL. 34952
Legal Description: THE PRESERVE @ SAVANNA CLUB BLK 52 LOT 12
3839 SANDLACE CT., PORT ST LUCIE FL. 34952
Property Tax ID #: 3425-706-0269-000-4
Site Plan Name:
Project Name: BRUCE OR CHRISTINE RAYMOND
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
REMOVE EXISTING SHINGLED ROOF. INSTALL IKO STORMSHIELD SHINGLE
UNDERLAYMENT DIRECT TO PLYWOOD DECK. INSTALL IKO CAMBRIDGE SHINGLES PER
CODE. 2/12 PITCH
iditional work to be nertormed
HVAC Gas Tank
under this permit— check all
[]Gas Piping
apply:
Shutters
Windows/Doors
Address: 3839 SANDLACE CT.
Company: GARY MARZO, INC.
_
Address: 861 A- SW LAKEHURST DRIVE
11 Electric ❑ Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 1700
Cost of Construction: $ 5,750.00
SFt. of First Floor:
Utilities:cnSewer Septic Building Height: 13 FT
OWNER/LESSEE:
CONTRACTOR:
Name BRUCE OR CHRISTINE RAYMOND
Name: GARY MARZO
Address: 3839 SANDLACE CT.
Company: GARY MARZO, INC.
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-336-9814
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 work or recording your Notice of Commencement.
S
_ Signature of dwner/ Lessee/Agent Signata're of C ntractor/Lic se Holder
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this day of , ///ii 20 %i by
DAVID VANDERFLIER
(Name of personi.acknoyrleInf
f
I
_.� l
(Signature of Notary Public -I& to of Florida )
Personally Known x
Type of Identification
Commission No.
Revised 07/15/201
OR Produced Ide
'1 IAy CC(�
E 4plftES \Fi3rCl 9, `�18
:�.
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrume t was, acknowledged before me
this day of , 6 ` 20 by
DAVID VANDERFLIER
(Name person ac"owle ging)
r
1 / i
Sign(a(Ure of Notary &Y ric- State of Florida )
Personally Known x OR Produced Identification
Type of Identificati n,,f rA, ece
AVID VANDERFLIER
Commission No. My COMMIS(SM)#FF099550
.9;FOFgP EXPIRES March 9, 2018
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