HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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
PERMIT APPLICATION FOR: Roof
Commercial Residential x
Address: 8234 Sandpine Circle Port St. Lucie, FL 34952
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 8
Property Tax ID #: PARCEL ID: 3426-703-0022-000-5
Site Plan Name: TERRY GLAB OR EILEEN MCCLUSKEY
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
r^x 333 k - iL,n; I3k il -
..... .......
Remove existing shingle roof.
Install IKO storm shield self -adhering modified shingle underlayment.
Install IKO Cambridge lifetime shingles per code.
PITCH 51/2/12
aamonai worK to oe errormea
HVAC Gas Tank
unaer anis permit — cnecK an
DGas Piping
n apply:
Shutters
Windows/Doors
_
Address: 861-A SW Lakehurst Drive
_
E -Mail: ultffl@comcast.net
11 Electric ❑ Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 4 i 00
Cost of Construction: $ 13,940.00
S Ft. of First Floor: _
Utilities: Sewer o Septic
Building Height: 13 ft.
.........,.._.. :_......
_....
Name: TERRY GLAB OR EILEEN MCCLUSKEY
Name: GARY MARZO
Company: GARY MARZO, INC.
Address: 8234 SANDPINE CIRCLE
City: PORT ST. LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-621-8559
Address: 861-A SW Lakehurst Drive
City: Port St. Lucie State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489
E -Mail: ultffl@comcast.net
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.
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 recordine vour Notice of Commencement.
_ Signature of Owner/ Les ee Agent
STATE OF FLORIDA
CO U NTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this '6 day of a uxt-� , 20 Va, by
DAVID VANDERFilER
(Name of 7:k no wledging)
(Signature of Notary Public- State of Florida )
Personally Known x
Type of Identificatie
Commission No.
Revised 07/15/2014
OR Produced Identification
Signature oTContric or/LicenseVolder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 8 day of JULY 20 by
DAVID VANDERFLIER
(Name of ppr's9n acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
DAVID VANDERFLIER
u
-My COMM(§SfdN #FF099550 Commission No. _°:..."..e�.. DAVID �BERFLIER
EXPIRES Merck 9, 2018 y. .:c°' My COMMISSION #FF099550
398.0153
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
REVIEW
Name:
Address:
City:
State:
Address:
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 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 recordine vour Notice of Commencement.
_ Signature of Owner/ Les ee Agent
STATE OF FLORIDA
CO U NTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this '6 day of a uxt-� , 20 Va, by
DAVID VANDERFilER
(Name of 7:k no wledging)
(Signature of Notary Public- State of Florida )
Personally Known x
Type of Identificatie
Commission No.
Revised 07/15/2014
OR Produced Identification
Signature oTContric or/LicenseVolder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this 8 day of JULY 20 by
DAVID VANDERFLIER
(Name of ppr's9n acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
DAVID VANDERFLIER
u
-My COMM(§SfdN #FF099550 Commission No. _°:..."..e�.. DAVID �BERFLIER
EXPIRES Merck 9, 2018 y. .:c°' My COMMISSION #FF099550
398.0153
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4206240 OR BOOK 3886 PAGE 1841, Recorded 07/01/2016 10:34:11 AM
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 3q2� - /Qa oqi??�• ti -6-
State of Florida County of St. Lucie
the undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property, (and streeypddress if aMailable):
t of
9
General description of improvement:60-r{'1('1
f
Owner information or LG ee i formation if the Lessee contracted for the improvement:
Name TP/P, ! C9� Ct
,Address 3 4- "17-
Interest in property:
Name and address of fe simple titleholder (if different from Owner listed above):
Contractor's Name:L�aK4 �r �L11tr/-0 "y -(E4
Contractor Address: '6(01- Ad�]f� (k.0 rJy--f Phone Number:
'i't -d 1 Gbe ' -r- ): �� `��'�3
Surety (if applicable, a co of the payment an is attached :Amount of bond: $
Name and address: Phone number:
Sender Name: Phone Number:
'_ender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
Name: Phone Number:
Address:
In addition to himself or herself, Owner designates of
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNERAFTER THE EXPIRATION OFTHE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOB SITE BEFORETHE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Ander penalty of perjury, I declare that i have read the foregoing notice of commencement and that the facts stated therein are true tothe best of
any knowledge and belief. n n�
(Signature of Ownerior Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
jyy::w� GyNNMARIO
(Signatory's i„. MYCOMMISSIONpFF979521
�F EXPIRES: Apt@ 8 2020
8undad Thnr MotatY Pima Undatwrlters
The foregoing instrument was acknowledged before metthhis day of�20-160, 20
By tW \3 as flJ for
Name Perso STATE OF FLOR)f auth rity (e g.officer,trustee) Party on behalf of whom instrument was executied
T. LUCRE COUNTY AS TO CERT11 TN 1 ,A X11
Ily known or produced Identification
(sig atureofNotaryPubli -State 1ArAih4DCORRE, TCi, i'1 Oi'`?fk�E o0
i
(Print, Type, or stamp Cotaty Puk�lu)) i j tification produced
JOSERf _. _ I�tilTti dLER
ajy D Y t erk
Da4e*I o CO
0 1 2016