HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: fa ag-1.8 Permit Number: I81 g�'69
RECEIVED
COUNDEC 2 8 2018
Building Permit Application permitting Department
Planning and Development Services St. Lucie Counts-
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXXXX
PERMIT APPLICATION FOR: Roof
IMPROVEMENT LOCATION
Address: 7305 Pacific Ave Fort Pierce, FL 34951
LAKEWOOD PARK-UNIT 4-BLK 39 LOT18(MAP 13/11 N)(OR 2393-1844)
Legal Description:
Property Tax ID#: 1301-604-0222-000-3 Lot No.18
Site Plan Name: James Rinehart Block No. 39
Project Name: James Rinehart Re-roof
Setbacks Front Back: Right Side: Left Side:
•
DETAILED DESCRIPTION OF WORK
Remove shingles and replace existing roof with shingles
CONSTRUCTIONsINFORMATION
Additional work to be ertormed under this permit—check all .ha apply:
HVAC [1 Gas Tank Gas Piping ]Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 0 Generator [] Roof 5//2 Roof pitch
Total Sq. Ft of Construction: 2,309 S . Ft.of First Floor:
Cost of Construction:$ 10,976.00 Utilities: _Sewer 0 Septic Building Height: 15
OWNER/LESSEE CONTRACTOR "' a
Name James Rinehart Name: Bryon Keith McStoots
Address:7305 Pacific Ave Company: PetersenDean Roofing&Solar Systems Inc.
City: Fort Pierce State:FL Address: 1011 Fairfield Drive
Zip Code: 34951 Fax: City: West Palm Beach State:FL j
Phone No.772-696-3548 Zip Code: 33407 Fax: 561-880-0699
E-Mail:jrrperformance@gmail.com Phone No. 561-881-0660
Fill in fee simple Title Holder on next page(if different E-Mail: klsmith@petersendean.com
from the Owner listed above) State or County License: CCC1329081
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i I
SUP KEN]ENTAL:CONSTRUCTION LIEN LAW"N F RMATI 0
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:1011 Fairfield Drive 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 contlict 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 your Notice of Commencement.
� I
17 0 c, 19 moo• pLv
Signature f Owner/Lessee/Contractor as Agent for Owner Signature o' •r cense Holder
STATE OF FLORIDA STATE OF FLORIDA � �
COUNTY OF • COUNTY OF 7j9i4l ��`�+!.
The forggi�nr1g instrument was acknowledged before me The forgo)ig instrument was ackno edged before me
this97day of ,20/6 by thisca7_day of ,20/0 by
Am�S Q . R i mrc«le?RT may 7/ Afa's
Name of person making statement / N e of pe icing statement
Personally Known OR Produced Identification ` Personally nown on
Produced Identification
Type of Identification Type of Identification
Produced _/if L-# Produced
dipt41111.-wifila-: .A.O.L' PiAgh %
(Signature of Notary f,_ •«� -:• (Signature of Notary Pu•Iic State .forida)
".•tpR,;, BET WAGNER
Commission No. ''; MY CO, ON#GG 081027 • "�� GNER
j Commission No.
EXPIRES:April 13,2021 .; _� :,. MY COMMISSION#GG 081027
'For ° " Bonded Thru Notary Public Underwriters �^ o
LLL ,, p EXPIRES:April 13,202111
oa„4�•' Bonded fhru Notary Public UnderNrrters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17