HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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:
P-809 1 b r
Address: 243 MANGROVE BAY PLACE PORT ST LUCIE FL. 34952
Legal Description: SEC: 10 TWN 36 S RANGE 40 E
Property Tax ID #: 3410-508-0313-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
REMOVE EXISTING SHINGLED ROOF
INSTALL IKO STORMSHIELD UNDERLAYMENT
INSTALL IKO CAMBRIDGE LIFETIME SHINGLES
2/12 PITCH
icimonai worK to oe errormea
0HVAC Gas Tank
unser anis permit— cnecK ail
❑Gas Piping
apply:
Shutters
❑ Windows/Doors
_
_
❑ Electric ❑ Plumbing
0Sprinklers
FIGenerator
W1 Roof
Total Sq. Ft of Construction: 1187
Cost of Construction: $ 4,450.00
Name REGIS & ILEANE SCHREFFLER
Address: 243 MANGROVE BAY PLACE
S. of First Floor: _
Utilities: Sewer Septic
City: PORT ST LUCIE FL. State: FL
Zip Code: 34952 Fax:
Phone No. 330-606-3867
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: GARY MARZO
Building Height: 13 FT
Company: GARY MARZO, INC
Address: 861 SW LAKEHURST DRIVE
City: PORT ST. LUCIE FL State:
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489
E -Mail: GMARZOINC@AOL.COM
State or County License: CC -C058193
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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
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Signature f wner/ LeskeeTAgent
s
Signat a of Cntr ctor/Licen Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFA ,LaJt -e COUNTY OF 7" L!.L,cje_
The forgoing instrument was acknowledged before me
this 30 day of 20/
-by
(Name of person acknowledging)
&I
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Idpntafiration
Type of IdentificaY 4qe D VANDERFLIER
*i MY COMMITSION #FF099550
Commission No.
�__.,o PIRES iGfa h 9, 2018
398-0153
Revised 07/15/2014
The forgoing instrument was acknowledged before me
t
this day of 20 /b by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Kno n ./ OR Produced Iden
Type of Identifi ato i $11D VANDE.WLIE-14
cl
*= MY COMMISSIO �tFF 99550
Commission N "� '. ES M, edlp
,20l $
(907) 300=0103 FI0rIrl@Nati S@rvir@xcj 1
REVIEWS
11111111 RIK,
WON
DESIGNER/ENGINEER:
_ Not Applicable
PLANS
MORTGAGE COMPANY: _ Not Applicable
Name:
MANGROVE
Name:
Address:
REVIEW
REVIEW
Address:
City:
State:
DATE
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
INITIALS
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
cUrn111UHLlnk' wUM UI [ULUIU1111' VUur IVUULU UI I,U111111CIIl.C111U111.
Signature f wner/ LeskeeTAgent
s
Signat a of Cntr ctor/Licen Ider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFA ,LaJt -e COUNTY OF 7" L!.L,cje_
The forgoing instrument was acknowledged before me
this 30 day of 20/
-by
(Name of person acknowledging)
&I
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Idpntafiration
Type of IdentificaY 4qe D VANDERFLIER
*i MY COMMITSION #FF099550
Commission No.
�__.,o PIRES iGfa h 9, 2018
398-0153
Revised 07/15/2014
The forgoing instrument was acknowledged before me
t
this day of 20 /b by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Kno n ./ OR Produced Iden
Type of Identifi ato i $11D VANDE.WLIE-14
cl
*= MY COMMISSIO �tFF 99550
Commission N "� '. ES M, edlp
,20l $
(907) 300=0103 FI0rIrl@Nati S@rvir@xcj 1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS