HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAJ3LE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED // (7 4
Date: l Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
230011irainip Avenueii!,F1mx1,erce_EL 34:9-$2 .
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential .x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT.LOCATION':
Address: 6511 FORT PIERCE BLVD, FORT PIERCE FL. 34954
Legal Description: LAKEWOOD PARK- UNIT 7 BLK 78 LOT 15
Property Tax ID#: 1301-607-0218-000-1 Lot No. 15
Site Plan Name: Block No. 78
Project Name: LINDA E. TOTTON
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION SOF WORK:
REMOVE EXISTING FLAT ROOF
INSTALL J M MANVILLE MODIFIED ROOFING MATERIAL PER MANUFACTURERS SPECIFICATION
1/2/12 PITCH
CONSTRUCTION`1NFORMATION.
Additional work toe Derformed under this permit—check a appy:
HVAC . 0 Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 350 SFt. of First Floor:
Cost of Construction:$ 1,875.00 UtilitiesInSewer Septic Building Height: 13 FT
OWNER/LESSEE; 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.
S'UP_PLE:MENTAL 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.
'�A�IMArW— 9�fMA-
s
_Signature o ner/Lesse/ gent Signature of o tractor/Lice s Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instruent was acknowledged before me The forgoing instrument was acknowledged before me
this day of AV6 t/>"(Ylh P.t/ 20 J by this�day of November 20 by
David Vanderflier David Vanderflier
(Name of person acknowledging) (Name of person acknowledging)
(Signature orNkafry P blic-St e o orida) (Signature of NotaryPu Ic-State of Florida)
Personally Known X Personally Kno n, ' �P�°••, dd o�dde t' ication
8 � �d�1NUERLIER
Type of Identifica io <�.ti!OY�icgJ Type of Identifi afro ri# 1 MY
�,. #FF099550
`€ Q MY COMMISSION#FF099550 ',?FaF, c` EXPIRES Mar 2018
Commission No. `=�4 ..._ o:° IpES i�l�ta �9,2018 Commission No ' I)
of N,,,.• 39,8-0163 FlorldaNctaryService.com
(407)398-0153 FloridallotaryService.com
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
COMPLETE
INITIALS