HomeMy WebLinkAboutBuilding Permit Application i'
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !'
Date: 2/2/16 Permit Number: 010 - 01z3
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
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2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
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PERMIT APPLICATION FOR: Roof ij
PROPOSED IMPROVEMENT LOCATION: .
3409 BENT PINE DR
Address: '
Legal Description: MONTE ARLO COUNTRY CLUB ONE LOT 25 (OR 1344-1332)
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Property Tax ID#: 1327-801-0029-000-5 Lot No.25
Site Plan Name: i Block No.
Project Name: BENT PINE
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION O!"WORK:
3 ; I
TEAR OFF EXISTING ROOF. INSTALL NEW STAND AND SEAM METAL !ROOF WITH PEEL N
STICK UNDERLAYMENT
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CONSTRUCTION:CNFORMATION:
Additiona I work to b enertormed under this permit—check all that appy: !
OHVAC Gas Tank ❑Gas Piping E]Shutters ❑;Windows/Doors
Electric Plumbing ❑Sprinklers Generator 'Roof
Total Sq. Ft of Construction: 2813 S . Ft.of First Floor: !
Cost of Construction:$ 24000. Utilities:Sewer Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR.
Name RICHARD F.DENMON Name: BRIAN J MALONEY
Address:3409 BENT PINE DR Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMORE
Zip Code: 34951 Fax:N/A City: PORT ST LUCIE State:FL
Phone No.772 209-1391 Zip Code: 34984 Fax: 772-343-8358
E-Mail:NSA 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 construction 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: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _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 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.
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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 workjor-fecording vour Notice of Commencement.
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_Signature of O r/Lesse ent Signature o Cont r/Lice se ,olde
STATE OF FLORID _ STATE OF FLOR14
COUNTY OF S LuctC� COUNTY OF S� Ly�C
The forgoing instrywent was acknowledged before me The forgoing instrument was acknowledged before me
this I day of 20 L�2_by this day of 20 by
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(Name of person ac wle ing) (Name of persWackn )ing)
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(Signature arMOR
tate of Florida) (Signature of N blic-State'of Florida)
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Personally K own Produc ��de��ifiadaxd�� ���i _ Personally Known OR Produced Idep#It� nilJ/;,,.
Type of Identifica ion Produced ;'•OMMIsg/o°^.� Type of Identification Produced
.� M1SS/04
Commission No. 'Z: (Sea] M. Commission No.
12,aoF/o°;
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434
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Revised 07/15/2014od2dM.
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW j REVIEW REVIEW
DATE
COMPLETE
INITIALS
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