HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' 2/16 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
PROPOSED IMPROVEMENT LOCATION;.
Address: 8104 PASO ROBLES BLVD
Legal Description: LAKEWOOD PARK UNIT 8 BILK 91 LOT 14
Property Tax ID#: 1301-608-0088-000-3 Lot No.14
Site Plan Name: Block No. 91
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ,.
TEAR OFF EXISTING ROOF. INSTALL 30 LBS UNDERLAYMENT AND TAMKO SHINGLES.
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a that appy:
HVAC 9 []GasTank ❑Gas Piping 1:1_Shutters Q Windows/Doors
Electric O Plumbing OSprinklers Generator Z Roof
Total Sq. Ft of Construction: 3213 SFt.of First Floor:
Cost of Construction:$ 8,000 Utilities 11 Sewer OSeptic Building Height: 1
OWNER/LESSEE-_; °;CONTRACTOR:
Name RANDY&JOYCE BROWN Name: BRIAN J MALONEY
Address:8104 PASO ROBLES BLVD Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FIL Address: 1816 SW BILTMORE
Zip Code: 34951 Fax:N/A City: PORT ST LUCIE State:FL
Phone No.772-462-2376 Zip Code: 34984 Fax: 772-343-8358
E-Mail:NIA 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.
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 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.
s
_Signa ure of Own / ess /Agent Signature of Contra o/Li nse older
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF S-� COUNTY OF LAcis t
The for oing instru ent was acknowledged before me The forgoing instru gent wa acknowledged before me
this day of 7 � 20 L�by this day of 20 by
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(Name of person kno ledging) (Name of perso acknowledging)
(Signatur o ublic-State of Florida) (Signa)0k5-,0f f ryel
Public-State of Florida)
Personally Know OR Produced Id to Personally Known OR Produced Identification
Type of Identific ion Produced et��' RTiRp °°iie_ Type of Identificatio Produced
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