HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
•
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: 8185 Buckthorn Circle Pt St Lucie, FL
Legal Description: Savanna Club -Plat One - Blk 4 Lot 8
Property Tax ID #: 3425-701-0101-000-4
Site Plan Name:
Project Name: _
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Shingle re -roof (gable roof)
Right Side: Left Side:
Lot No. 8
Block No. 4
CONSTRUCTION INFORMATION:
Additional work to be gerformed under tispermit—check
a appy:
HVAC Gas Tank DGas Piping
11 Shutters L__.l Windows/Doors
Electric Plumbing Sprinklers
E Generator Z Roof Roof pitch
Total Sq. Ft of Construction: i rJJ� , J gq S. Ft. of First Floor:
OWES
Cost of Construction: $ 10,537.13 UtllitiestSewer Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name David and Karlene Kent
Name: Francis Buchanan
Address: 14279 Rama Dye Road
Company: Buchanan Services, LLC
City: Shoals State: IN
Address: 3300 SW 11th Street
Zip Code: 47581 Fax:
City: Deerfield Beach State: FL
Phone No 812-709-0390Zip
Code: 33442 Fax: 772-324-8090
E -Mail:
phone No. 800-379-0122 ext 110
Fill in fee simple Title Holder on next page ( if different
E -Mail: kelly@pdrhelps.com
from the Owner listed above)
State or County License: CCCO56685
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
UrbitiNER/ENGINEER:Not Applicable
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip.'_ Phone-.—
FEE
hone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name:
Address: Name:
City: Address: Zip; Phone: City:
ZIP< Phone:
1.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated,
1 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.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA�} STATE OF FLORIDA
COUNTY OF MOIL ' COUNTY OF Mahln
The for oing instrument was acknowledged before me
this day of 20i i by
Name of perso making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of NotarryPbli4S71�*.(.Florid,/�,�.i taC)4I2EN rE DEVAU;
Commissi2Tn1Qg� C�: M�Sg@YMISSION # GG08�
EXPIRES March 30, 202
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
DATE
COMPLETED
Rev. 8/2/17
FL 116) 6-
The forgoing instrument was acknowledged before me
this 15th day of January 20_ by
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
re of Notary Public- State of Florida j
mission No � VAIN E DEVAUX
MY COMMISSION # GG085
'?a ,.• EXPIRES March 30, 2021
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW I REVIEW
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FIVE # 4380376 OR BOOK 4075 PAGE 1241, Retarded 12/14/2017 10:57:13 AM
Permit No.
State of Florida, County of SL Lucie
NOTICE: OF COMMENCEMENT
Property Tax ID No. 3425-701-0101-000A
The Undersigned hereby gives notice that improvement will be made to certain real propertV, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available 3425-701-0101-000-4 8185 BUCKTHORN CIR
SAVANNA CLUB -PLAT ONE- BLK 4 LOT8 (OR 3844-183)
General description of improvements Re -roof
Ownertlessee 'David and Karlene Kent
Address 8185 Buckthorn Qrc. Part St. Lucie, FL 34952
Interest in property: owner
Fee Simple Title holder (if other than owner)
Address
Contractor Buchanan Services, LLC
Address 3300 SW 11th Street Deerfield Beach. FL 33442
Surety
Address
Amount of Bond
Lender
Address
Phone # 800-379-0122
Fax # 772-324-8090
Phone #
Fax #
Phone ft
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7,, Florida Statues:
:Mame Phone;4
Address
In addition to himself, owner designates
Fax.4
Phone 4 Fax #
to receive a copy of the Lienor's :Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS :MADE- BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCE_MfNT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH 713, 13. F.S.. AND C AN RESULT IN YOUR PAYING TNV10E FOR iMPROL EWNTS TO YOUR PROPERTY. A NOTICE OF
COMMENCE iWN"I' MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUP LENDER OR AN AT RNF.Y BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMME\CMENT. "')-1 ,//%f -
or Owner's o�/Lessee's Authorized Officer/DirectorlPartnerl.Nianager/ Sigoalure
Signatory's Title/Office
State of Florida, Countv of Martin
Acknowledged before me this 13th , day of Decemoor 20 17 , by
who is personally known to me or who has produced /Il/ /ir•1 L as identification.
Karen DeVaux
Signature of Notary Type or Print Name of Notary (Seal)
Title: 'Notary PublicCommission Number CGO88819 ?�r!�4 KAREN E DEVAUX
a w MY COMMISSION # Gwa881$
+•%�ae ,� EXPIRES MBrch 30.2021