HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C
Date: ''� ' / Permit Number: 0C7 C; '
RECEIVED
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Building Permit Application APR 9. 2016
Planning and,Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772I)462-1553 Fax: (772)462-1578 Commercial Residential
1 17171
PERMIT APPLICATION FOR: Roof
PROPOSED-IMPROVEMENT LOCATION:
Address: 3725 SANDLACE COURT
Legal Description: THE PRESERVE AT SAVANNA CLUB BLK 52 LOT 6
Property Taxi D#: 3425-706-0263-000-2 Lot No.6
Site Plan Name: Block No. 52
Project Name: SANDLACE
Setbacks Front Back: Right Side: Left Side:
66
DETAILED!DESCRIPTION OF WORK:
TEAR OFF ROOF �f
INSTALL PEEL & STICK AND REPLACE SHINGLES.
CONSTRUCTION INFORMATION.
Additional wor to be nertormed under this permit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof
FV
Total Sq. Ft If Construction: 2648 Sq. Ft.of First Floor: 1851
Cost of Construction:$ 6500.00 Utilities:Sewer Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
NameHAROLD G HENSLE:Y Name: BRIAN J MALONEY
Address:3725 SANDLACE COURT Company: TREASURE COAST ROOFING
City: PORT ST LUCIE State:F� Address: 1816 SW BILTMORE
Zip Code: 34952 Fax:N/A City: PORT ST LUCIE State:FL
Phone No.772-2091391 Zip Code: 34984 Fax: 772-343-8358
E-Mail:N/A I 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 co struction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: I Address:
City: I State: City: State:
Zip: I Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: I Address:
City: i City:
Zip: I Phone: Zip: Phone:
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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 our Notice of Commencement.
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_Signature lfbmloeS44L/nt Signature of ontractor/Lice Hol r
STATE OF FLUel
STATE OF FLORID
COUNTY OF L,UCOUNTY OF St LA& ;2
The for oing instr ent wa acknowledged before me The forgoing instrum nt was�knowleclgecl before me
this day of 20 V by this day of \ 20 –iJ6 by
(Name of person ac wledgi ) (Name of so cknowledging)
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(Signature of N b t - tate of Florida} (Si a r otary Public-State of Florida)
10�1161Billiii0l�/ }�
Personally Known OR Producecl�t �, 8 ��i� Personally Known OR Produced 1�� 9�iflrtl44,
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Type of Identificati Produced >° .•°""°°°°° — Type of Identification roduced ��° a.°.RT9o��o.
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Revised 07/15/2014 /���r�� S AT pFFe�Q�\\\`�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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