HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/16 Permit Number: 0
OCT 2 G etc
Building PerMit Application
P E R Mi I T-f I 11.G
Planning and Development Services St. Lucie County, FL
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: 2813 SLICE COURT
Legal Description: LINKS AT SAVANNAH BLUB
Property Tax ID 3425-707-0026-000-216
Lot No.
Site Plan Name: Block No. 33
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK: Z
TEAR OFF EXISTING ROOF. INSTALL PEEL N STICK UNDERLAYMENT AND TAIVIKO
SHINGLES
�Y1o�ji� e �dM� S /� Z
CONSTRUCTION INFORMATION':
Additional work tobe rtormed under this permit—check III[Japply:
0HVAC toe
Tank [:]Gas Piping Shutters F—]Windows/Doors
11 Electric El Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: 2248 Sq. Ft.of First Floor:
Cost of Construction:$ 5,400.00 Utilities: 0Sewer F]Septic Building Height: 1
OWNER/LESSEE' 'CONTRACTOR:
Name HAROLD BULLINGSLY Name: BRIAN J MALONEY
Address:2813 SLICE CT Company: TREASURE COAST ROOFING
City: PORT ST LUCIE State:FIL Address: 1816 SW BILTMORE
Zip Code: 34952 Fax.N/A City: PORT ST LUCIE State:FL
Phone No. Zip Code: 34984 Fax: 772-343-8358
E-Mail:N/A 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: CCC1 330653
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 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 our Notice of Commencement.
J s
_Signature of Own r/ esse gent Signature of Contr or/Li se Holder
STATE OF FLORI STATE OF FLOR14A
COUNTY OF �� L.LA- C_ COUNTY 6F_,- t.,Uf :Q
The foroing instr en was acknowledged before me The forgoing instrume,,�fijt w acknowledged before me
this o� ay of 20 ��by this day of V 20 �by
(Name of person ac o edging) (Name of person ack le ing)
(Signature of ubli -State of Florida) (Signature ota Pu ic-State of Florida)
PersonallyKnown OR Produced Identification Personally Known OR Produced Identification
Y
Type of Identificat on Produced Type of Identification X—oduced
Commission No. Z (Seat)'data��EtiEEf7E9/d<< Commission No. 2 L _1 I' fiiE;fte;
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