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 PL 34982
Phone: (772) 462-1553 Fax. (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof Li
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Address: 5208 Birch Drive, Fort Pierce, FL 34982
Legal Description: Indian River Estates -Unit 07-BLK 51 LOT 12 (MAP 34102S)
Property Tax ID #: 3402-608-0406-000-5
Site Plan Name: Eileen Bradley
Project Name:
Setbacks Front Back: Right Side: Left Side:
Remove existing shingle roof.
Install IKO Storm Shield self -adhering modified shingle underlayment.
Install IKO Cambridge lifetime shingles per code.
Lot No. 12
Block No.
Additional work to be ertormed under this permit —check all L�t apply:
HVAC 11 Gas Tank E]Gas Piping ILJI Shutters Windows/Doors
11 Electric ❑ Plumbing ❑ Sprinklers Generator Roof 2 Roof pitch
Total Sq. Ft of Construction: 2400 Sq. Ft. of First Floor:
Cost of Construction: $ 8,615.00 Utilities:USewer Oseptic Building Height: 13FT.
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Name Eileen Bradley Name: Gary Marzo
Address: 5208 Birch Drive Company: Gary Marzo, Inc.
City: Fort Pierce State: FL Address: 861-A SW Lakehurst Drive
Zip Code: 34982 Fax: City: Port St. Lucie State: FL
Phone No.772-332-0249
E -Mail: eilinski@bellsouth
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489
E -Mail: gmarzoinc@aol.com
State or County License: CC-CO58193
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State: _
Zip: Phone: Zip: Phone:
FEESIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your Notice of Commencement.
�MA MIN
Signature q
Owner/L a/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this it day of cx—A-o'E�C—'', . 20 4�— by
DAVID VANDERFLIiR
(Name of person acknowledging )
/1—C/-1
(Signature of Notary Public- State of Florida )
Signature ontr qi ce n se Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this " day of OCTOBER . 20 t(-, by
1DAQ1.0 rfRTJy7C
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x "�I°a it@I�At '1 1L �1 tFR Personally Known x ?? 1 J'`1xob"IY it FLIER
Type of Identification Pr ate MY commiceinti #RC�hhfig„ Type of Identification F rq�iu d. _
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° EXF'fFt IIArCh �, X018 ".red°' EXPI�i ly�flrcll 9, 2018
Commission No. ion„A:3_nrs3 !c I' Commission No. e
Iresfi ntary5ervice.�nm (4ur)-s•.7a-uisa FloridaNatary$ervice.com
Revised 07/15/2014
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DATE
COMPLETE
INITIALS