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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: , Permit Number: _ __ [•_ • - NOV �q?ffi Building Permit Application 13ERrviI r Ire Planning and Development Services LUCK? County, FL 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: 3200 S 7TH ST FT PIERCE 34982 t—ar I d Legal Description: MARAVILLA GARDENS S/D-UNITTHREE-PART OF LOTS 180 TO 183 INC MPDAF:FROM NWCOR LOT 183 RUN EALG N LI LOT 183562.1 Fr.THS85 Fr,THE 140 Fr.THS 177 FT,TH E257 FT,THS238 Fr,THW82 FT, TH S 50Fr,TH ES Fr,TH S75 FT,TH W182.18 FT,TH 5200 Fr.TH E25.4 FT,TH S 322.7Fr,TH W730.67FT TO E RW LI S MAYFLOWER RD.TH N ALG SD E RW 522.67FT.TH E 135FT,TH N75 FT,THW 135FT TO AFORESAID E RAN,TH N ALG SD E RW 550.34FT TO POB(OR 3855-1410) Property Tax ID#: 2427-601-0060-000-0 Lot No. 180 TO 183 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: _ DETAILED DESCRIPTION ,OF WORK: TEAR OFF EXISTING SHINGLE ROOF _ �_, SAND INSTALL NEW SHINGLE ROOF# -(5-b 71L CONSTRUCTION INFORMATION: Additional work toe e orme under t —checkispermit a appy: HVAC Ei Gas Tank []Gas Piping Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: / 500 S . Ft. of First Floor: Cost of Construction:$ :3aCO,00 Utilities:Cn Sewer D Septic Building Height: OWNERAESSEE:, CONTRACTOR: Name ROSELL STOREY Name: CHARLES RICHARDS Address:3200 S 7TH ST LOT#103 Company: ALL AREA ROOFING City:,FT PIERCE State:FL Address: 3921 S US HWY 1 Zip Code: 34982 Fax: City: FT PIERCE State:FL Phone No.772-465-1809 Zip Code: 34982 Fax: 772-464-6600 E-Mail: Phone No. 772-464-6800 Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM from the Owner listed above) State or County License: CCC1326177 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 comme i work or recording our otice of Commencement. AL4 jelA.419 �01'4'A Ss SignaWfe of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 6-� COUNTY OF ,-5+ b-f-ct 2 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this.,�day of ©G-{pj_r)e , 20 1 by this 9K day of ,r 20 1 by ( azr 01�0(_r�4-c�� K,(. 61-"r' C1-S (Name of person acknowledging) (Name of person acknowledging) `'r (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known V OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. ?otsa►u*1SeaI) FAITH MASON Commission No. You (Seal) * `�* MY COMMISSION N GG 00393 4°•• FAITH MASON 20.2 My k-OMMICRIONg Go cosgag -70 F F1.D��v Bonded T-Budget Notary S*Mo& �9 `oe EXPIRES-Juno 20.2020 Revised 07/15/2014 '� -4 8ondadThuDAQ0N0frySff*" REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS