HomeMy WebLinkAboutBuilding Permit Application J
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r1
Date: 2/2/16 Permit Number: ,. ORO
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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
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PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: j
Address:
7205 PLUMOSA LANE i
Legal Description: LAKEWOOD PARK UNIT 11
Property Tax ID#: 1301-613-0299-000-1 Lot No.30
Site Plan Name: '' Block No. 149
Project Name:
Setbacks Front Back: Right Side: Left Side:
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(7ETAILED DESCRIPTION O.F'WORK:
TEAR OFF EXISTING ROOF. INSTALL PEEL N STICK UNDERLAYMENT AND TAMKO
SHINGLES
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check a t appy:
HVAC Gas Tank F]Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator �Roof
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Total Sq. Ft of Construction: 2300S . Ft.of First Floor:
Cost of Construction:$ 9,500.00 Utilities: Sewer El Septic Building Height: 1
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OWNER/LESSEE: GONTRAGTOW I
Name WILLIAM&BARBARA CAMP Name: BRIAN J MALONEY
Address:7205 PLUMOSA LANECompany: TREASURE COAST ROOFING
City: FORT PIERCE State:FL Address: 1816 SW BILTMO,.RE
Zip Code: 34951 Fax.NSA City: PORT ST LUCIE I
State:FL
Phone No.772-216-9847 Zip Code: 34984 1 Fax: 772-343-8358
E-Mail:NSA 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: COC1330653
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUkP*PLEME ULI NSTRUCTION LIEN,.LAW INFORMATION;,
SIGNERf ENGINEER --_Not A livable `
- pP - - MORTGAGf`COMPANY _- i�tot Appi�cable
Name: Name:
Address: Address:
City: State: City: -`'i state:
Zip: Phone: Zip: Phone:'d
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City:-__ City: "f
Zip: Phone: Zip: (Phone: l
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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 I 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 Mender or an attorney before
commencing work or recording our Notice of Commencement. I '
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_Signature of neL ssee/Agent Signature of Contr /Liv s" Holddr
STATE OF FLORID�1 STATE OF FLORIDA
COUNTY OF 5� �v���� COUNTY OF S- 11 G\P
The forgoing instrument was acknowledged before me The forgoing instrument was a"knowledged before me
this \ day of ocC_ 20 A(,,by this l day of 20 )6 by
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(Name of person ackle ging) (Name of;person
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(Signature o otar u lic-State of Florida) (Signatur of tary'Public-St' to of Florida)
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Personally Known. Produced) �Fi01104')!Qn Personally Known _OR,'Produced Idg+� kY►�p•.
Type of Identification Produced ;.''',.FAT BRA y;E�i4�_ Type of IdentificationLProducedOSE gA<I �s —
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Commission No. /Z Z `l o•' l)2,20F11%% Commission No. /47434 12?oF�°�
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Revised 07/15/2014 f��°°°•e eon�zd�pN.�go '4 F; 9q �nd�dlhN.
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REVIEWS FRONT ZONING'fYaraioi; &ERVISOR PLANS VEGETATION ',i SEAjITURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS � '
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