HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7. ! Permit Number:
/to L97— �
Building Permit Application
RECEIVE
Planning and Development Services JUL
Building and Code Regulation Division L 13 1016
2300 Virginib Avenue,Fort Pierce FL 34982
Phone: (77112)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMITAiPPLICATION FOR: Roof
PROPOSED IlVIPROVEMENVLOCA QN
Address: 1712 PASEO AVE, FORT PIERCE FL. 34982
Legal Description: MARAVILLE PLAZA BLK 11, LOT 16 & 17
Property Ta M ID#: 2421-802-0148-000-0 Lot No.
Site Plan Name: Block No.
Project Nam$:
Setbacks li ront Back: Right Side: Left Side:
DETAILEDI,DESCRIPTION-,OF'WORK
I
REMOVE EXISTING SHINGLED ROOF. INSTALL IKO STORMSHIELD SHINGLE UNDERLAYMENT.
INSTALL IKO CAMBRIDGE SHINGLES. INSTALL JM MANVILLE MODIFIED ON FLAT ROOF.
3/12 PITCH
='OPPOWNFORIVIATION.
Additional or .toe e Orme under this permit—check a appy:
HVAC El Gas Tank Das Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 1650 S . Ft. of First Floor:
Cost of Construction:$ 6,748.00 Utilities:n Sewer OSeptic Building Height. 13 FT
01NNER/LESSEE :CONTRACTOR. � "
Name JERR`I OR SUSAN BREWER Name: GARY MARZO
Address: 171 PASEO AVE Company: GARY MARZO, INC.
City: FORT PIERCE State:FL Address: 861 A-SW LAKEHURST DRIVE
Zip Code: 34982 Fax: City: PORT ST LUCIE FL. State:FL.
Phone No.72466-3379 Zip Code: 34983 Fax:
E-Mail: 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
SUPPLEMENTAL CONSTRUCTION LIEN:LAWINFORMATION.
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
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.Pie Ise 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 fist inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Si nature o er/Lessee/A t I"Sij='nature_of'_Cora a tor/ icenseI er
STATE OFFIORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The for oing'i str tfifi was acknowledged}p�efore me The forgoing instrume as cknowledged before me
this�day f 20 /�y this day of_ ,G 20 by
DAVID VANDERFLIER DAVID VANDERFLIER
(Name of person acknowle '' (Name oXe77
ging)
�4/
(Sign t re 6f N 6tary Publi - to of Florida) (Signa ur of ota ublic-State of Florida)
Personally Known X OR Produced Identifica io Personally Known X OR Produced Identification
Type of Ident c�40M�'o lced Type of I 7 , '
1 = <=ot rPy"e4c;. DAVID VANDERFLIER
Commission Q`I,_ T= MY COMMISSIO1kaF 099550 Commiss N "I ; �IcC�Q II,,
d� EXP ES March 2018MA4ISSION#FFo99�30
oT EXPIRES March 9,2018
3a •0153 FloridaNota Service.com •,,, ;"
or a o aryervice.com
Revised 0715/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS