HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO)) MUST BE
COMPLETED FOR APPLICATION TO BE ACCEPTED 1/�
Date: 1 /��"/ Permit Number:
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&Z�- - 7 - Building Permit App6 2019
Planning and Development Services Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 i tyr FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT TYPE:Re-Roof
PROPOSED INPROVEMENT LOCATION:Roof
Address: 7716 White Egret Lane, Port Saint Lucie Florida 34952
Property Tax ID#: 3424-702-0192-000-8 Lot No.4
Project Name: Claire Wescott
DETAILED DESCRIPTION OF WORK:
Remove old roof and Replace with new Asphalt Shingle Roof
L. hAe m ¢ '
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction:$ 12,000 Total Sq. Ft of Construction: 28
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: Flood Zone: BFE: Floodway? Y/N If Y,
No Rise Certificate with supporting data attached?Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWN ER/L-ESSEE:Claire Wescott CONTRACTOR:PDKROofing.inc
Name Claire Wescott Name:Dee Keihn
Address:7716 White Egret Lane Company:PDKRoofing.inc
City: Port Saint Lucie State:19= Address:1299 Sw Biltmore Street
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No.(772)334-0001 Zip Code: 34958 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 LicenseCCC1331408
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 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 Notic encement must be recorded and posted on the '
before the first inspection. If you intend t t%ai1a nancing, cpLRsult with lender or an attorney bes.. _o;
comrWncing work oryecording your Noti mence
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Signature of ner/Lessee/Contract` s Agen o Signature of Con ac or/License Holder-*' 90 0
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STATE OF FLORID, o= STATE OF FLORIDA �o
COUNTY OF Z= COUNTY OF z
The forgoing instr nt was acknowledged befo �n_-'rn The fo ing instr ent was acknowledgeyl befor C?j
this� ay of 201f by `°N this day of 20�by
a N
e e l� I h n �e-e. p l b n .
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identificatiort/ Personally Known OR Produced Identification
TypeI cation
Type of Ide ific r
Produce Produced k SOL- �C
/1 (ft. 78aLI —
(Signature of011otary Public-State of lorida (Signature of Nota Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1/9/2019