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 Commercial Residential x
PERMIT APPLICATION FOR: Roof
OR
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Address: 8278 Sandpine Circle Port St. Lucie, FL 34952
Legal Description: SEC 26 TOWN 36S RANGE 40E
Property Tax ID #: PARCEL ID: 3426-703-0044-000-5 Lot No.
Site Plan Name: GISELE RUSSO Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Remove existing shingle roof.
Install IKO storm shield self -adhering modified shingle underlayment.
Install IKO Cambridge lifetime shingles per code.
PITCH 5/12
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itional work to be nertorme urider this permit — check all appy:
11HVAC Gas Tank E]Gas Piping _ Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Q—I QC] S Ft. of First Floor:
Cost of Construction: $ 8,970.00 Utilities: Sewer Septic Building Height: 13 ft.
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Name: GISELE RUSSO
Name: GARY MARZO
Address: 8278 SANDPINE CIRCLE
Company: GARY MARZO, INC.
City: PORT ST. LUCIE State: FL
Address: 861-A SW Lakehurst Drive
City: Port St. Lucie State. FL
Zip Code: 34952 Fax:
Phone No, 772-879-1580
Zip Code: 34983 Fax: 772-465-8829
E -Mail: fregis9541 @aol.com
Phone No. 772-871-2489
Fill in fee simple Title Holder on next page ( if different
E -Mail: gmarzoinc@aol.com
from the Owner listed above)
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
COfTlrrlerlCIrIg wU1K Ur recurU1119 yUUI IVULICC UI l VI11111CI1cCIIlCIII.
_ Signature wner/ Lessee Agent
STATE OF FLORIDA
COUNTY OF sr LUCIE
The forgoing instruniw 1s acknowledged before me
this 16 day of 20 _by
DAVID VANDERPUER
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known.("p°°a�1idLPLI
Type of Identificati €Vir Li -
',S`.. y oma;
'';�oFF�°'` EXPIRE M ch 9, 2018
Commission No. Sea
(407) 359-0153 Florida otaryervice.com
Revised 07/15/2014
s
Signature of C11 actor/Lia Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this a day of JULy , 20 by
DAVID VANDERFLIER
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally OR P11ra-d-lbirs-edd Ideatificat
Type of Ide Ota ri emfm V®Nr'fERM rFc
My COMMISSION #F 09 50
Commissio tP��j(�` 'p '� ,r RS March �5 8
•�
(407) 399-0153 EIGPI[1pNntatvCnndn® nnr.
REVIEWS
FRONT
iM �.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
REVIEW
Name:
REVIEW
Address:
REVIEW
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 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
COfTlrrlerlCIrIg wU1K Ur recurU1119 yUUI IVULICC UI l VI11111CI1cCIIlCIII.
_ Signature wner/ Lessee Agent
STATE OF FLORIDA
COUNTY OF sr LUCIE
The forgoing instruniw 1s acknowledged before me
this 16 day of 20 _by
DAVID VANDERPUER
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known.("p°°a�1idLPLI
Type of Identificati €Vir Li -
',S`.. y oma;
'';�oFF�°'` EXPIRE M ch 9, 2018
Commission No. Sea
(407) 359-0153 Florida otaryervice.com
Revised 07/15/2014
s
Signature of C11 actor/Lia Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this a day of JULy , 20 by
DAVID VANDERFLIER
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally OR P11ra-d-lbirs-edd Ideatificat
Type of Ide Ota ri emfm V®Nr'fERM rFc
My COMMISSION #F 09 50
Commissio tP��j(�` 'p '� ,r RS March �5 8
•�
(407) 399-0153 EIGPI[1pNntatvCnndn® nnr.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT- SAINT LUCIE COUNTY
FILE # 4206237 OR BOOK 3886 PAGE 1838, Recorded 07/01/2016 10:34:11 AM
PERMIT #:
STATE OF FLORIDA
NOTICE OF COMMENCEMENT
7o be completed when construction value exceeds $2,500.00
TAX FOLIO # 3426-703-0044-000-5
COUNTY OF SAINT I uc tc
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 STREET ADDRESS, IF AVAILABLE):
8278 SANDPINE CIRCLE, PORT ST. LUCIE FL. 34952 SEC,9& lbi31V 365 4CE
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name: GISELE RUSSO
Address: 8278 SANDPINE CIRCLE PORT ST LUCIE FL. 34952
Interest in property: RESIDENCE
Name and address of fee simple title holder (If different from Owner listed above):
CONTRACTOR'S NAME: GARY MARZO, INC. Phone No.: (772) 871-2489
Address: 861 A- SW LAKEHURST DRIVE PORT SAINT LUCIE FL 34983
SURETY COMPANY (If applicable, a copy of the payment bond is attached):
Name and address:
Phone No.: _ _—__ Bond a
LENDER'S NAME:
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;—
Address:
ame;_Address:
In addition to himself or herself, owner designates
receive a copy of the Llenor s Notice as provided in Section 713.13(1)(b), Florida Statues.
Phone number of person or entity designated by Owner:
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 13Y THF OWNER AFTER THE EXPIRATION OF THE 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 THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,. CONS ULT WITH YOUR LIE NDE ROR AN ATTORNEY BEFORE COMMENCING WORK OR
CORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of
I de'� aro that
I have read the foregoing and that the facts in it are true to the best of my knowledge and belief.
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Signatur4 of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact
Signatory's Title/Office
The for 'ng instrument was ckncwledged before me this day of
By: Q as a1./ /� for
me of person Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was 1
912�t,2�_ -
Personally known or produced identification 13
Notary Signature Type cf identi
(Print, Type, or $tamp Commissioned Name of Notary)
T 1BLD\BIdg_Fomis\New Applications'.Forms\Nolice OPCommencement Docs
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