HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �, Permit Number:
_I wi
MWIV ----- RECEIVED -
Building Permit Applicat on MAY 0 3 2018
Planning and Development Services
Building and Code Regulation DivisionST. Lucie County, permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential YES
PERMIT APPLICATION FOR: Roof -
PROPOSED IMPROVEMENT LOCATION:
Address: 3041 Satinleaf Lane Port Saint Lucie Florida, 34952
Legal Description: SAVANNA CLUB-PLAT TWO- BLK 32 LOT 29 (OR 1474-795: 3040-677: 3990-1396)
Property Tax ID#. 3425-702-0254-000-4 Lot No. 29
Site Plan Name: Block No. 32
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace roof shingles off shingle on v �1 P y A s1 e n 19Q
-
Al o 0 9 / ), 0 '-" e,
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—check a appy:
HVAC E]Gas Tank Gas Piping Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers MGenerator Roof 2 Roof pitch
Total Sq. Ft of Construction: 1300 S . Ft. of First Floor:
Cost of Construction:$ 6,500.00 Utilities:n Sewer O Septic Building Height:
OW N ERAESSE E: CONTRACTOR:
NameJ and K Leasing LLC Name: Dee Keihn
Address:487 SW Deer RUN Company: PDK Roofing Inc
City: Port Saint Lucie State: FL Address: 626 SW Everett Court
Zip Code: 34953 Fax: City: Port Saint Lucie State: FL
Phone No.305-213-0619 Zip Code: 34953 Fax:
E-Mail:Jim-kay@msn.com Phone No. 772-528-0113
Fill in fee simple Title Holder on next page( if different E-Mail: PDKRoofing.inc@gmail.com
from the Owner listed above) State or County License: CCC1331408
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:J and K Leasing LLC Name:Dee Keihn
Address:3041 Satinleaf Lane Port Saint Lucie Florida,34952 Address: 487 SW Deer RUN
City: Port Saint Lucie State: City: Port Saint Lucie State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:626 SW Everett Court 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 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 a first inspection..)f you intend to obtain financing, c nsult with lender n attorney before
com ,ncVig work gffeordinga of Commencem nt.
3?hFTTre of Ownpof Lessee/Contractor as Agent for Owner Signature of Contra o(/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5k. �v �� COUNTY OF
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledge before me
this_day of f�y , 201'1 by this � day of M 0,141 20� by
p kt,ko -q- k'-�. �
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificat'on Type of Identification
Produced �. t" Produced 'F-l_)0
(Signature of Notary Pub is Sta __. Mt`► a �%%AM�KtE G�`�tL2;r.(Signature of Notary blrc-Mate off�or+da)
Commission No. S� 1 =• Se p���S'•3 uEm��u�ae��r gymmission No.'Sly ,' Bonded 1:{5{
ded Thru F1otaN°_,_
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17