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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: RECEIVED • MAR 21 20-19 Building Permit Application T. Lucie County, Permitting .Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial' Residential X PERMIT APPLICATION FOR: Roof P'ROPOS'ED IMIPR®1/E11/IENT LOCATION: ' Address: 3365 Matthews Road, Fort Pierce, Florida 34945 Legal Description: S/D OF ALL 29-35-39 S 1/2 OF E 1/2 OF LOT 15 AND S 277 FT OF LOT 16 (13.34 AC) (OR 4134-1109) Property Tax ID#: 2329-501-0002-010-1 Lot No. Site Plan Name: Block No. Project Name: David K Albritton Setbacks Front Back: Right-Side: Left Side: ®ETAILED ©E�SCRIPTIO'N C1F V1/ORK: - E Remove the current asphalt shingle roof and install a new Asphalt shingle roof. C®`N�STRUCTtQN tNFOR Additional wor toe nertormed under this permit—check a appy: . HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors- ❑Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch Total Sq. Ft of Construction: 43Sgs S . Ft. of First Floor: Cost of Construction:$ 17,760.00 Utilities: Sewer FISeptic Building Height: 20Ft ,n ®V1/NER/LESSEE: C®NTAC ®R: �{ u e Name David Albritton Name: Dee Keihn Address:3365 Matthews RD Company: PDK Roofing .Inc City: Fort Pierce State:FL Address: 1299 Sw Biltmore.Street Zip Code: 34945 Fax: City: Port Saint Lucie State.FL Phone No. Zip Code: 34983- Fax: E-Mail: Phone No. (77.2)528-0113 Fill in fee simple Title Holder on next page(if different E-Mail: PdkRoofing.lnc 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. SIJPPLEMENTA6LC®N TRIJCTION LIEN LAW INF®RiMAT ®N � �� � s a � 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 inspectio . If y u intend to obtain financing, nsult with lender o an torney before comnleMing work^ro6ordift your Notice of Commence en . r -- nature of Ow nerf Lessee/Contractor as Agent for Owner ignature of Contra t r/License Holder STATE OF FLORIDA STATE OF FLO I,DA COUNTY OF ,M\f�t- I u c 1 e COUNTY OF CJlltrl'� LQ C� The f r oin instrument was acknowledged before me The for oing instr ent was acknowledged before me this day of ��G�`t—� ,20 19 by thisoLa day of lV—( V1 20A9 by J0.10- -e 1tle o ), _ 0 e e /fie ; , Name of person making statement Name of person making statement Z� Personally Known OR Produced Identification /ice ''Personally Known OR Produced Identification Type of Identification Type of Identification Produced L_ Produced ��L– ,olppr v.9., MICHELLE GREEN ,�t�Y Pu"•; MICHELLE GREEN x •��, Notary Public-State of Florida �� Notary Public-St. te of Florida ��o= Commission k GG 286318 a' Commission rY GG 286318 of My Comm.Expires Dec 20,2022 Si nature of Nota Public State c °Etf�lii o g Natrona Notary Assn.. (Signature of Notary Pub rr StatE3®fd€dlnitie6g$National Notary assn. ( g Notary Commission No o lU 1 (Seal) Commission No (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17