HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABAj E INFO MUST BE COMPLETED FOR APPLICAT ON TO BE ACCEPTED ��}}
Date: / '�/•� Permit Number: l�{Q�'7 c-4��
CIVE
Building Per it Application SEP 2 7 2016
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: 124 Queen Ann Court Fort Pierce, FL 34949
Legal Description: Queens Cove-Unit 1-Blk 20 Lot H (or 3740-2816)
Property Tax ID#: PARCEL ID: 1414-701-0201-000-5 Lot No.
Site Plan Name: Albert Biehl or Janine Biehl Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.OF WORK:
Remove existing shingle roof.
Install Soprema Resisto Lastobond metal underlayment.
Install Gulf Coast 24 gauge 5V Galvalume metal roo per code.
PITCH 51/2/12
CON"Sf'kUCtiON .IN'FO"'RMATION-
Additional work to be ertormed under this permit—chec k all appy:
11HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers 1:1 Generator Fv—(] Roof
Total Sq. Ft of Construction: 5600 SFt. of First Floor:
Cost of Construction:$ 29,475.00 Utiliti s:ll Sewer 0Septic Building Height: 13 ft.
OWNER/LESSEE CONTRACTOR:
Name:Janine or Albert Biehl Name: GARY MARZO
Address: 124 Queen Ann Court Company: GARY MARZO, INC.
City: Fort Pierce State:FL Address: 861-ASW Lakehurst Drive
Zip Code: 34949 Fax: City: Port St. Lucie State:FL
Phone No.561-212-3587 Zip Code: 34983 Fax: 772-465-8829
E-Mail:j9blissaj@aol.com 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-CO58193
If value of construction is$2500 or more,a RECORDED Notice o 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 ssuance 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 anc 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 finaA ting, consult with lender or an attorney before
commencing work or recording our Notice of Comme cement.
�*a� N/7E �1"_ VVA�_ s
_ 'ig�S' atuur"o Owner/Le ee/Agent Sigmafurof , ntrac o /License Holder
STATE OF FLORIDA STATE OF FLORIDA
COU NTY O F ST LUCIE COUNTY OF ST LUCIE
The forgoing instru ent�v a knowledged before me The forgoing instrument was acknowledged before me
this U day of 20 /by this 23 day of September 20 & by
DAVID VANDE41ER DAVID VANDERFLIER
(Name of person acknowle ging) (Name of persona kn
(Signa-mature of Notary Public-State of Florida) ✓.(Signature-of-fiqotary Public-State of Florida)
Personallyx . ,.•''av"' P dd ee�� t'f' PersonallyKnown x cacLldent' '
Known
Type of Identification cTyDAVID vANor=-Rpe e of Identification rp.....el T
i. M �,•
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MY COIyIyIIJON#FF099550
Commission No. 9'Foa o?,• EXPIRR§eMprch 9, 2018 Commission No. _ .... ..•'.a~` IJ
ON
EXWIFt arch 9,2018
(407)398-0153 FloridallotaryService.com 407 398-0163
FlorldallotaryService.com
Revised 07/15/2014
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