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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��[[ Date: -`{ / �, Permit Number: I���• (� �l-� a ign ©� - Building Permit Application RECEIVEID Planning and Development Services JUL y Zo�c Building and Code Regulation Division U !8 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential .x PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION;: Address: 790 S. BROCKSMITH RD., FORT PIERCE FL. 34945 Legal Description: OUR WAY RANCH LOT 3 Property Tax ID#: 2308-801-0003-000/1 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REMOVE EXISTING SHINGLED ROOF INSTALL SOPREMA RESISITO METAL UNDERLAYMENT INSTALL GULF COAST SUPPLY 26 G 5 V METAL ROOF AS PER CODE. 5/12 PITCH 'CONSTRUCTION INFORMATION: ACIClitional work to be nerlormed under t ispermit—check a appy: HVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors 11 Electric ❑ Plumbing Sprinklers E Generator Roof Total Sq. Ft of Construction: 3900 S . Ft. of First Floor: Cost of Construction: $ 14895.00 Utilities:Sewer Septic Building Height: 13 FT OWNERAESSEE: .CONTRACTOR: Name TRUDY&LESLIE LASENBY Name: GARY MARZO Address:790 S. BROCKMSITH RD Company: GARY MARZO, INC City: FORT PIERCE State:FL Address: 861 SW LAKEHURST DRIVE Zip Code: 34945 Fax: City: PORT ST. LUCIE FL State: Phone No.772-489-4312 Zip Code: 34983 Fax: 772-465-8829 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. 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 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 recording our Notice of Commencement. TV PUN— _ ignatNuh ' `ner/Less /Agent Si nature o - tractor ' ense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF kJ- ZA".,C16- COUNTY OF The for oing instru� j w acknowledged before me The forgoing instrum w acknowledged before me this�day of r/ 20 &-by this 7 day of 20 /& by(Name of person acknowle in ) (Name of person ackno ledging (Signature of of ry Public-State of Florida) (Signat r sof otary Public-State of Florida ) Personally Known OR Produced I Personally Knowi QR PrQduced Identification Type of Identification d�grs LIER Type of Identific ioj►Puc .......��: _; DERFLIER _............ . MY CO MISSION#FF099550 '* �r= MY COMMISS1Q% Commission No. 11 Commission No. ' '• a 099550 ;9lFOF. op,: EXP E March 9, 2018 IBES M rch 2018 1-0153 FlorldallotaryService.com 407)3000163 FlorldBNotaryServlce.com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS