HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
• fg ,:rte FAK �-
� I JLC
Building Permit Application
Planning and Development Services SEP 1 2018
Building and Code Regulation Division
ent
2300 Virginia Avenue,Fort Pierce FL 34982 r it itti E7_ ➢C{� � '
Phone: (772)462-1553 Fax: (772)462-1578 Commercial R slctia ,1 ;y, FL
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 835 Se Tierra Ct, Port Saint Lucie, Florida 34983
Legal Description: RIVER PARK-UNIT 7-BLK 65 LOT 12(MAP 34/28S)
Property Tax ID#: 3 Y11 - Q — ®(/ 0` Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace Roof �/� t' 4/6,4 i 5.3 f ,/l/�� FL )ot 1P
CONSTRUCTION INFORMATION:
Additional work to be e orme under this permit–check a appy:
HVAC ID Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers ❑Generator Roof �� Roof pitch
Total Sq. Ft of Construction: 3000 S Ft.of First Floor:
Cost of Construction:$ 11600 Utilities:CnSewer Septic Building Height:
OWNER/LESSEE:Maria Downs 'CONTRACTOR: PDKRoofng.inc
Name Maria Downs Name: Dee Keihn
Address:835 Se Tierra CT Company: PDKRoofing.inc
City: Fort Pierce State:Fl Address: 626 Sw Everett Ct.
Zip Code: 34983 Fax: City: Port Saint Lucie State:FI
Phone No.7723806183 Zip Code: 34987 Fax:
E-Mail: 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: 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 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 `sted on the jobsite
before the first inspection. If ou intend to obtain financing, consult with lender or a ttorney before
commencing work orrecorjdiog your Notice of Commenceme ) -
Signature of 0 ner/Lessee/Con rac or as Agent for Owner Signature of Co (ractor/License Holder
STATE OF FLORIDA (' STATE OF FLORIDAo J '
f U 6;