HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1� `ti- oa55
RECEI'. D NOV 14 2016
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 - ��
PROPOSED IMPROVEMENT LOCATION: "
Address: 6511 Fort Pierce Blvd, Fort Pierce, FL 34954
Legal Description: 6511 Fort Pierce, Lakewood Park-Unit7-BLK 78 Lot 15
Property Tax ID#: 1.301-607-0218-000-1 Lot No. 15
Site Plan Name: Block No. 78
Project Name: Linda E Totton
Setbacks Front Back: Right Side: Left Side:
DETAILEDDESCRIPTION OF WORK: -.
REMOVE EXISTING SHINGLE ROOF
INSTALL SOPREMA RESISTO LASTOBOND UNDERLAYMENT
INSTALL GULF COAST 26 GAUGE GALVALUME STRIATED 5V METAL
4/12 PITCH
CONSTRUCTION IN FORMATION:
Additionalwor to e. e orme un er t is permit—c ec a appy:
HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 2400 S . Ft. of First Floor:
Cost of Construction:$ 13,750.00 Utilities:n Sewer[]Septic Building Height: 13 FT
OWNER/L'ESSEE. CONTRACTOR:
Name LINDA TOTTON Name: GARY MARZO
Address:6511 FORT PIERCE BLVD Company: GARY MARZO, INC
City: FORT PIERCE State:FL Address: 861 SW LAKEHURST DRIVE
Zip Code: 34954 Fax: City: PORT ST. LUCIE FL State:
Phone No.772-577-0726 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.
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 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 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.
s
f —Sig of caner/Less a gent Signa of C n tactor/License H Ider
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF St Lid. CO U NTY OF St Lucie
The forgoing instrumeAn�was ack owledged before me The forgoing instrument was acknowledged before me
this�day of /�y6/-e/yI� 20 7�by this 08 day of November 20 Ir. by
David Vanderflier David Vanderflier
(Name of person acknowledgi (Name of person acknow� n
-(5igna Lire otNotary Public-State of Florida) Signa ure of Notary Public-State of Florida )
Personally Known X OR Produced Identification Personally Known X OR Produced Ident'
Type of Identification Produced Type of Identificatice
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