HomeMy WebLinkAboutBuilding Permit Application t
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: ` `� ` Permit Number: 1 \d
r. RECEIVED
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Building Permit Application APR 15'2019 52019
Planning and Development Services ST. Lucie County,
Building and Code Regulation Division PerrIikrlilq
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3241 Scarlet Tanager Ct Port St Lucie, FL-34962
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2(PB 43-21) BLK 58 LOT 20 (OR 2312-2084)
Property Tax ID#: 3424-702-0030-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Elwood Dance
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing roof and replace it with a New Asphalt Shingle Roof
'1 uwAlW UTA&Y' lmi ma-M
CONSTRUCTION INFORMATION:
Additional work to benertorm_ed under t ispermit—check a appy:
HVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing OSprinklers Generator F] Roof 412 Roof pitch
Total Sq. Ft of Construction: 27 S Ft. of First Floor:
Cost of Construction:$ 11,880.00 Utilities: wer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Elwood Dance Name: Dee Keihn
Address:3241 Scarlet Tanager Ct Company: PDKRoofing.lnc
City: Port St Lucie State:FL Address: 1299 SW Biltmore Street
Zip Code: 34952 Fax: City: Port Saint Lucie State:FL
Phone No.(772)528-0113 Zip Code: 34983 Fax:
E-Mail:pdkroofing.inc@gmail.com 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 posted on the jobsite
before the first inspection. If y u intend to obtain financing, co It with lender or an attorney before
com encin work or cord your a—of Com menceme t.
Signature of 04Werl Lessee/Conbk=eKas Agent for Owner Signature of Con ac or/License
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF cam'- .ILP
Jib
Q) N ..The for oing instrument was acknowledg4 The fQriling instru ent was acknowledged forgmethi day of /��l : I 20this d 1 day of / 0 20ZJ , y o °' Nc� z 0 �� � -e C /lQ . ,� -_J C)O LL ONName of person making stateme .X z Name of person making statementPersonally Known OR Produced � Personally Known OR Produced Iden ff atiog x
Type of Identification E Type of Identification ^a' y E oProduced �rL Produced L W E o OOD,�
(Signature of Notary Publ -State of Floridad * (Signature of Notary Public-Sta a of Florida) _>0°
X56 0- f
Commission No. ( Commission No. 5 Q •
—I (S I�%°
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17