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
7 RIM z�`
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Address: 6002 LANTANA DR, FORT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 10-BLK 135 LOT 1
Property Tax ID #: 1301-612-0402-000-4 Lot No. 1
Site Plan Name: Block No. 135
Project Name: LARRY KUHNS
Setbacks Front Back: Right Side: Left Side:
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REMOVE EXISTING TAR AND GRAVEL ROOF
INSTALL SOPREMA RESISTO UNDERLAYMENT
INSTALL IKO CAMBRIDGE LIFETIME SHINGLES
3/12 PITCH
Additional work to be ertormed under this permit— check all apply:
HVAC EiGasTank ❑Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing F—jSprinklers Generator Roof
Total Sq. Ft of Construction: 2220 S. of First Floor:
Cost of Construction: $ 9,680.00 Utilities:cn Sewer 0Septic Building Height: 13 FT
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Name LARRY KUHNS Name: GARY MARZO
Address: 6002 LANTANA DR Company: GARY MARZO, INC
City: FORT PIERCE State: FL Address: 861 SW LAKEHURST DRIVE
Zip Code: 34951 Fax: City: PORT ST. LUCIE FL State:
Phone No. 304-6274188 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.
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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 1 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.
—Signature oO ner/ LesseeUdent
STATE OF FLORIDA
COUNTY OF St Lud.
The for oing instrume was acknowledged fore me
this _ day of �� ,J�"�; W �by
David Vanderflier
(Name of person acknowledging)
(Signature "?/Pl
- State of Florida )
Personally Known X OR Produced Identification
Type of Idenntifiration Prndirer!
x DAVID VANDERFLIER
Commission Ikjj. iSSION 4$111609550
EXPIRES March 9, 2018
OF Fv,
(407) 398-0153 1-ionoa,vora,y: e,.,..G..,...::
Revised 07/15/2014
REVIEWS
DATE
COMPLETE
INITIALS
FRONT ZONING
COUNTER REVIEW
Signatu o o ractorVeseHolder
STATE OF FLORIDA
CO U NTY OF St Lucie
The forgoing instrument was acknowledged before me
this 03 day of November .20 ,l / by
David Vanderflier
(Name of person acknowled in
(Signa "r of Notary Public -State of Florida )
Personally Knnk,n X nB Produced Identification
Type of Id nth n NWMIA.., htP1CAt�t tr^
My COMMISSION #FF95
Commissi( s
(407).398-0153 FloridallotaryServicP.,corn
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