HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: 2/2/16 Permit Number:
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RECEIVED NOV 15 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: 3337 COLUMBRINA CIRCLE
Legal Description: SAVANNAH CLUB PLAT 2
tea0 - 0-ao-$
Property Tax I D#: 3425-702-00ft-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'
O.F-WORK..,:..
TEAR OFF EXISTING ROOF. INSTALL NEW TAMKO SHINGLES AND PEEL N STICK
UNDERLAYMENT
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all apply:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator FV Roof
Total Sq. Ft of Construction: 2000 Sq. Ft.of First Floor:
Cost of Construction:$ 5000.00 Utilities:0 Sewer 0 Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
Name LL Name: BRIAN J MALONEY
Address:,-? 3-7 CoA4� CA_,k- Company: TREASURE COAST ROOFING
City: TS L State:FL Address: 1816 SW BILTMORE
Zip Code: 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: CCC1330653
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.
73-1--1 s
_Signature of O / ess /Agent Signature of Con r for/Li Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF oc-I- L�c.� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l` day of 20 Abby this day of A)(FQ 20 L(o by
(Name of pets ckno ledging) (Name of pets c nowledging)
(Sign a of N Oy Public-State of Florida) (Sig ure otary Public-State of Florida)
Personally Known OR Produced Ide n Personally Known OR Produced Identification
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