HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^,
Date: 2/2/16 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 IMPROVEMENT1OCATION:
Address: 5401 RAINTREE TRAIL
Legal Description: INDIAN RIVER ESTATES UNIT9 BLK59 LOT 21
Property Tax ID#: 3402-610-0001-000-3 Lot No.21
Site Plan Name: Block No. 9
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'°WORK. -
TEAR OFF EXISTING ROOF. INSTALL PEEL N STICK UNDERLAYMENT AND TAMKO
SHINGLES ` f
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—cleck all a appy:
HVAC Gas Tank E]Gas Piping _Shutters E]Windows/Doors
Electric Plumbing ❑Sprinklers Generator Fv7�i Roof
Total Sq. Ft of Construction: 2160 S . Ft.of First Floor:
Cost of Construction:$ 12,500.00 Utilities: Sewer Septic Building Height: 1
OWNER/LESSEE: , CONTRACTOR:_
Name ALEXANDER CAPPER Name: BRIAN J MALONEY
Address:5401 RAINTREE TRAIL Company: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMORE
Zip Code: 34982 Fax:N/A City: PORT ST LUCIE State:FL
Phone No.772-465-7421 Zip Code: 34984 Fax: 772-343-8358
E-Mail:NAW.KAY11@YAHOO.COM 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, 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 thepermit 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 recoycling your Notice of Commencement.
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_Signatu of Owner/L Use Signature 9f Con ractor/ty
e H Iden
STATE OF FLORID STATE OF FLORIDA
COUNTY OF �S L\xc,\ COUNTY OF �,tA- LLQ\
The f r oing instrWent was cknowledged before me The forgoing instrument was acknowledged before me
this day of ►' M. �J5 20 l-by this�day of I'M��,IJ T .20 I by
2 C%ce\
(Name of person ackn led g) (Name of persona o dging)
(Signature ofary P li -State of Florida) (Signatur ol&Public-State of Florida)
Personally KnownOR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification roduced
Z? "� H (S }�i�Q,�BRUNkF�siivo�� Commission No. / Z Z 3`7 (Seale°°Q����T BRUN��r
Commission No. W
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DATE
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INITIALS