HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED \c�
Date: a• a,�+ �� Permit Number:
_µ 3 -,r— RECEIVED
Building Permit Application FEB 2 6 0019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof —
PRO POSEDIIVIFROVEWN. LOCATION
Address: 3829 Spatterdock Lane, Port Saint Lucie Florida 34952
Legal Description: THE PRESERVE AT SAVANNA CLUB- BLK 46 LOT 9 (OR 3263-976)
Property Tax ID#: 3425-706-0067-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Frank Cerar
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .4
Remove and Replace Asphalt shingle Roof 3 d lie T v
a YVI
CONST.RUC,TIiONvINFORIUIfATION`
.Additional workktoe e orme under this permit—check a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing []Sprinklers E]Generator W1 Roof 412 Roof pitch
Total Sq. Ft of Construction: 18Sgs S Ft.of First Floor:
Cost of Construction:$ 12,300.00 Utilities: Sewer Septic Building Height: 20
OWNER/LESSEE: CONTRACTOR:
Name Frank Cerar Name: Dee Keihn
Address:3829 Spatterdock Lane Company: PDKRoofing.lnc
City: Port Saint Lucie State:FL Address: 1299 Sw Biltmore Street
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No.(704)496-4304 Zip Code: 34983 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:
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 posted on the jobsite
before the first inspectiorrrl�If Xou intend to obtain financing, consul with lender or an a rney before
commep nig work gX rpdbrd1dg your Notice of Commencement.
nature of Ownel/ essee/Contractor as Agent for Owner Sigfiat4tontractqf/Llcense Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTYOF Sk. COUNTY OF . `-Nate
The forgoing instrume t was acknowledged before me The for oing instrum nt was acknowledged before me
this��o day of 20 by thisa day of ac 20 by
DQ.A- 1e ea� ,n
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced )C Xb L_ Produced
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(Signature of Notary P lic-S (Signature of Notary `gyp' Yske of F1 1�9MARIEGIVENS
DEAN
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GIVENS _* *: MY COMMISSION#GG 022023
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SK #GG 022023 �' onEX IThru ¢ ber 16,2020
Commission No. mber16.2020 V Commission NO.Q4.
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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