HomeMy WebLinkAboutBuilding Permit Application A`,i APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
RECEIVED
Building Permit Applicatio MAR 2 6 2018
i
Planning and Development Services
Building and Code Regulation Division ST. Lucie Coun , Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
Address: �o( S n-wdc ijom br' F}A' 'Le_ fFLz 3 ` qL 7
Legal Description: � .1ef6 " e44T_'t1 S/n RC.K A
Property Tax ID#: _2qo 1 -/butt +OCU 5' t�0-q Lot No.
Site Plan Name: _'5V -rA L�-i• Block No. —A
Project Name:
Setbacks Front Back: Right Side: Left Side:
AILED DESCRIPTION OF WORK:
erQ)e �jhiA�S 1 o Lr' t A �C)
�•e( e S�--cGI2
Additionalwork to be performed under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _ Plumbinggam� _Sprinklers _Generator X Roof *2- -
ch
Total Sq. Ft of Construction: �V L) Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height: C)
Name Q Name: 5��►c: �Yon.ae-dam
Address: anCompany:
City: R- AWi=t. State: Address: P o. 1"1
Zip Code: 3%4'giq 1 Fax: City: �cKk �� LuL'_ State: FL-
Phone No. K Sq- 5 Sd- 5-&4 Zip Code: -34`) U_ Fax: 172-331.- Td'i S
E-Mail: Rar\Ct.4 '?,)I rw LW:l , Wlr�. Phone No '�'1L� 33i. 3 ko
Fill in fee simple Title Holder on next page ( if different E-Mail 54r� , PynEei x,t� 0,+ hc.F
from the Owner listed above) State or County License e'-Cz-
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 pr erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first insp . I ou intend to obtain financing, consult with lender or an attorney before
commencing work/ recordin our Notice of Commencement.
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Signature of Owner ess a/Contractor as Agent for Owner Signa re of Cont c r/License Holder
STATE OF FL lD STATE ORI A
COUNTY OF R �R. r., COUNTY OF Y11A t ,, 'o
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this /02 day of MA" 20JI by this I,;?- day of MAj c A ,20 !� by
*c"q_ �rory.�4� 1<4-ev-- Fy-p r4c-,t
(Name of person acknowledging) (Name of person acknowledging)
G
(Signature of Notary Public-State of Florida ) (Signat re of Notary Public-State of Florida)
V /
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Commission No. FF 91SI�3 (Seal) Commission No. rf 7S 9.3 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. �'
eoor°uy Notary Public State of Florida =oV�°��� Notary Public State of Florida
Camtela Frantantonl Carmela Frantantoni
?oF��o Expires 05/29/2020 oc n° Expires 05/29/2020
Steve Frontera Roofing, Inc.
3520 Armellini Av,Bay A.Palm City FL 34990
Steve.frontera@att.net RECEIVED
1-800-520-3880 Office MAR 2 6 2018
772-336-8568 Fax
License#CCC1326920 ST. Ducie County, Permitting
Homeowner: Randy Keith
Job Address: 201 Sandal wood Dr
Fort Pierce,FI
Phone#954-552-5646
1. Remove existing roof to plywood surface, re-nail all decking with 8d ring shank nails.
2. Install one layer of IRX peel & stick dry-in directly to plywood.
3.Install new metal drip flashings.
4.Install new lifetime shingles as per homeowner.
5.Install new lead pipe boots,roof vents.
6.Price includes permit and dump fees.
7.Five Year Warranty on any leaks due to workmanship. (Labor and material)
PRICE $ 15,900.00 shingles
113 deposit at contract 1/3 at tear off and dry-in and balance at completion .
Deposit paid $5,300.00 date 3- 11" 1f Check d "5-k/"
The undersigned accepts the above job at the price quoted and agrees to pay for said work
promptly as specified. If any sums due are collected by suit or demand of an attorney or
collection agency the undersigned agrees to pay all cost,including reasonable attorney fees
for collection.
Steve Frontera/President 3/12/18
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Homeowner Date