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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I ] (n/-T\
Date: �'o��® Permit Number:
RECEIVED
p _ ,
OCT t 1 1019
Building Permit Applicatiowitting Department
St. Lucie county
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
PERMITTYPE: Roofing
'PROPOSED IMPROVEMENT LOCATION:,, =:
Address: 2608 Newport Dr Fort Pierce FI 34982
Property Tax ID#: 2421-609-0013-000-2 Lot No. 5
Site Plan Name: Dirkes Block No.
Project Name: Dirkes
DETAILED DESCRIPTION OF WORK
Remove and replace roof shingle/flat roof on the back torch
Install new peel&Stick underlayment
Install new shingle
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof 4/12 Pitch
Total Sq. Ft of Construction: 1995 Sq. Ft. of First Floor: 1995
Cost of Construction:$ 14,500 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: ''CONTRACTOR.
Name Christian Dirkes Name:Mauricio Orellana
Address:2608 Newport dr Company: One Construction & Roofing
City: Fort Pierce Stater_ Address: 2766 sw Edgarce st
Zip Code: 34982 Fax: N/A City: Port Saint Lucie State: FI
Phone No.772-8794598 Zip Code: 34953 Fax: n/a
E-Mail:N/A Phone No 772-240-9497
Fill in fee simple Title Holder on next page (if different E-Mail oneconstructionservices@yahoo.com
from the Owner listed above) State or County License CCC-1330623
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.
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DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: � Name: �
Address: ' Address:`•. _ '
City: State: City., p I State:
Zip: Phone Zip: Phone:-""' M1�
FEE SIMPLE TITLE HOLDER• _Not Applicable . BO_NDING_COMPANX:,q. °` •'Not,'°Ap�licable
Name: -,Name:
Address: ti.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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `a\ es COUNTY OF
The forging instrument was acknowledge before me The for ing instr ment was acknowledg before me
this arday of ()C7QNRStE�20 by this day of Oc7\d.E Q_ 20 by
Name of person making statement. Name of person making statement.
Personally Known;,-= R Pus defceddPoSifictr�- . Personally Khoo nrprt3d. d• fiftton i
Type of Identification _e pAULETTE ELAIR ALEXANDEii Type of Identi balub �AULETTt.BLAIR C,L,EXANDEF; it
°n ,`�: Produced
Produced /s1 = Ncxt� y Pk;91ic-St?te or riojida l - t�te,bf flocida
I=s.4 oe Commission V FF 0956S9 "1. �N: "oQ Commission FF J95Gtb S
Expires Sep G,202E +. ��F�`; P�Y:.Comm E 6
xpires Seji 2070 !
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(Signature of Notary Public-State of Florida) (Signature of NotaryPublliic[-State of Florida")
Commission No. � C (Seal) Commission Not�� l� (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
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St. Lucie County
Housing Department
DATE: cl
Approved by:"-
AFFORDABLE
y: -AFFORDABLE ATTAINABLE
WORKFORCE HOUSING