Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO 11 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date"' `t ko Permit Number: 9 ©�—o -aL�lf/ E =�V Building Permit Application SEP 1 : 20116 Planning and Development Services PER;,AFTTING Building and Code Regulation Division Si.Lucie County, FL 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: 1202 DRIFTWOOD LANE Legal Description: DRIFTWOOD MANOR SECTION 3 LOT 3 Property Tax ID#: 3404-808-0003-000-0 Lot No.3 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION 01"WORK TEAR OFF EXISTING ROOF. INSTALL PEEL N STICK UNDERLAYMENT AND TAMKO SHINGLES CONSTRUCTION,-INFORMATION: Additional work to e e orme under this permit—check+a that appy: HVAC f]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors Electric F�Plumbing Sprinklers 11 Generator Roof Total Sq. Ft of Construction: 4282 S . Ft.of First Floor: Cost of Construction:$ 13,200.00 Utilities:11 Sewer ElSeptic Building Height: 1 OWNER/LESSEE:, , CONTRACTOR. Name MICHAEL FOWLER Name: BRIAN J MALONEY Address:1202 DRIFTWOOD LANE Company: TREASURE COAST ROOFING City: FORT PIERCE State:FL Address: 1816 SW BILTMORE Zip Code: 34982 Fax:NSA City: PORT ST LUCIE State:FL Phone No.772-460-1244 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. SURPLEMENTAL,CONSTRUCTION LIENLAWINFORMATION 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 andP osted on the'obsite 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. �IC3_J S _Signature of Own / sse /Ag t Signature of Contra cto i ense&JAer STATE OF FLORIDA STATE OF FLORI A COUNTY OF S-A- LkAc% COUNTY OF_.,5 Lw %e— The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this as day of P1ucu��J' . 20 l�by this 29 day of &fiu44- 20 1 lb by (Name of person ac owt ging) (Name of pe n cknowledging) (Signature of ota P lic-State of Florida) (Sign ure Akotary Public-State of Florida) Personally Known OR Produced Identification Personally Knw on OR Produced Identif' tt n Type of Identificat' n Produced 1111ilt Type of Identificat' n Produced XA\m9t��flM y�— �`` AU 'oT ZZ K 3 e � ��c0^'•{�861p•�.�F��i Commission No. 1 qr� Q ,•� INF` % Commission No. -�" 12 Ne-,% e•°�VOaI12'?O��A�c� a 2 Revised 07/15/2014y•g #FF 122434 ;Q4 Moa #FF 122434 ��o %pl•°,6 gon ed 1hN. s Q` egP` �Nofad Set\A'lary OQ�� TATE s\ REVIEWS FRONT ZOI fA1 ��•ST RVISOR PLANS VEGETATION SEA TU 114 MAAY�ROVE COUNTER REVIEW�liip11111 REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS