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: Roof
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Address: 8296 Sandpine CIR PORT ST LUCIE, FL 34952
Legal Description: LAKE LUCIE ESTATES PLAT NO. ONE LOT 39
Property Tax ID #: 3426-703-0053-000-1
Lot No. 39
Site Plan Name: Block No.
Project Name: DOUGLAS ELDER
Setbacks Front Back: Right Side: Left Side:
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REMOVE EXISTING SHINGLED ROOF
INSTALL SOPREMA RESISTO UNDERLAYMENT INSTALL MAXIM SELF FLASHING SKYLIGHTS (2)
INSTALL IKO CAMBRIDGE LIFETIME SHINGLES
6/12 PITCH
Additional work to bene] rtormecr under this permit — check all apply:
HVAC L__I Gas Tank []Gas Piping Shutters a Windows/Doors
1-1 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3151 SFt. of First Floor:
Cost of Construction: $ 12,420.00 Utilities:
Sewer Septic Building Height: 13 FT
—
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Name DOUGLAS ELDER Name: GARY MARZO
Address: 8296 SANDPINE CIR Company: GARY MARZO, INC
City: PORT ST LUCIE State: FIL Address: 861 SW LAKEHURST DRIVE
Zip Code: 34952 Fax: City: PORT ST. LUCIE FL State:
Phone No. 954-612-2004 Zip Code: 34983 Fax: 772-465-8829
E -Mail: 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 -C058193
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phoned
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone.
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
Not Applicable
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 �our 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, swimminlg 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.
Mtn -
_ Signature o O ner/ Lessee ent
STATE OF FLORIDA
COUNTY OF St Lucie
The for oing instrume as ackn wledgeddb fore me
this day of ��i 1d�20 //6by
David Vanderflier
(Name off person acknowledging)
(Signature otary P Gc- State of Florida )
U___
Signatu o o ractor/L a se Holder
STATE OF FLORIDA
COUNTY OF S1 Lucie
The forgoing instrument was acknowledged before me
this 03 day of November , 20 Z�by
David Vanderflier
(Name of erson acknowledgin /.
(Signa r Notary Public- State of Florida )
Personally Known X OR Produced Identification Personally X OR ProducPd Identification
Type of Idem ac tion Prnrliirort Type of Id nijsn bdd�:nC�
�`= DAVID VANDERFl.IER My COMMISSION #FF �9e5a
o x rL'01
Commission hj rl ISSION�550 Commissl IY.�' a
FOF F .f: E\rtRE-"arch 9,
EXPIRES March 9, 2018 (407) 398-0153 FloridallotaryServicexom
•. OF FL,
(407) 398-0153 FloriaaNmary:ae1,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS