HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( ,,I
Date: 2/2/16 Permit Number: tel'l
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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 I Residential x
PERMIT APPLICATION FOR: Roof
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PROPOSED"IMPROVEMENT LOCATION: I.
Address: LGn2 1
Legal Description: 71;-G DE !Ce.Yuo. Q� 60AninC.h C�I�.�,I VS ��• 3�
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Property Tax ID#: �� �i�✓ �� d �✓� C7 C) — Lot No. �y
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side
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DETAILED DESCRIPTIONtOF WORK:
TEAR OFF EXISTING ROOF. INSTALL NEW 5hin3lzs' ROOF WITH PEEL N STICK
UNDERLAYMENT
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CONSTRUCTION INFORMATION _
Additional work toe e orme under this permit—check a appy:
HVAC OGasTank ❑Gas Piping _Shutters I aWindows/Doors
11 Electric 0 Plumbing ❑Sprinklers F]Generator I Roof
Total Sq. Ft of Construction: __2 V40o S . Ft.of First Flooi:
Cost of Construction:$ � 5O d Utilities: Sewer Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
Name rm I Name: BRIAN J MALONEY
Address: 9(od l Company: TREASURE COAST ROOFING
City: P64 4, Lurie, 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:NIA Phone No. 772-370-9770'
Fill in fee simple Title Holder on next page(if different E-Mail: TCROOFiINGLLC@GMAIL.COM
from the Owner listed above) State or County license: QCC1330653
If value of construction is$2500 or more,a RECORDED Notice of Commencement is r,'equired.',
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SUPPiLE1ViENTAL COIVSTRIJCTION LIfN LAW INFORMATION: }P ;
-2, 1
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:;'; _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: hone: :,
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 holdet;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,l 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.
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_Signature of dwhergesseeffigent Signature of Co oir/ " e Holder
STATE OF FLORJ STATE OF FLORIDA
COUNTY OF �� (il cz COUNTY OF ,5� L V,c'
The for oing instrume as acknowledged}?efore me The forgoing instrume as acknowledged before me
this�day of 20 �by this Jday of C 20 �� by
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(Name of person ackno d ng) (Name of person ac dging)
(Signature of Pu lic-State of Florida) (Signature ry ublic-State of Florida)
Personally Known OR Produced Identification Personally Known OR`Produced Identification
Type of Identificatio roduced ..o tflill°ildt'. Type of Identificati ProducedORO
a�19ii11°°0°�N
\\`�����G�,......
�, �i Commission No. �s
Commission No. :`�• s 1�,Eg�� • � ��
2018�9tcJ,'•o iO�a�, 20�� q�J':.
� ®°® �o�� I =* �• F 122434 �oQ
Revised 07/15/2014 T x F 122agq
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REVIEWS FRONT ZOO G,.3•, 'SUPERVISOR PLANS VEGETATION SEA 6401 +,;!'• •MANGROVE
COUNTER REVIEIA`f" "' REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
LINTALS I '
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