HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I r C' Permit Number: C
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Building Permit Application Nov 19 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie county
Phone: (772)462-.1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 7234 Mystic WAY Port Saint Lucie, FL 34986
Legal Description: MYSTIC PINES AT THE RESERVE LOT 15 (OR 3978-2365)
Property Tax ID#: 3322-620-0020-000-8 Lot No.
Site Plan Name: Mary A Ferris Block No.
Project Name: Mary A Ferris
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing roof system and replace with new Tile roof System
30#(FL12328-R8) + Tu Plus(FL5259-R28)
PolyFoam(17-0322.03) Metal Chanel(FL5374-R4)
Estate S Tile FL28328-RO
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC Ei Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 41Sgs SFt. of First Floor:
Cost of Construction:$ $35,600.00 Utilities:cnSewer Septic Building Height: 11Ft
OWNERAESSEE; CONTRACTOR:
Name Mary Ferris Name: Dee Keihn
Address:7234 Mystic Way Company: PDKRoofing.lnc
City: Port Saint Lucie State:FL Address: 1299 Sw Biltmore Street
Zip Code: 34986 Fax: City: Port Saint Lucie State:FL
Phone No.(772)528-0113 Zip Code: 34983 Fax:
E-Mail:PDKRoofing.lnc@gmail.com Phone No. (772)528-0113
Fill in fee simple Title Holder on next page(if different E-Mail: PDKRoofing.lnc@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.#you intend to obtain financing, consult with lender , att ney before
t
comm 'n work or r o in our Notice of Commenceme a
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Signature of Own r/Lessee/Contractor as Agent for Ownertig a ure of Contra or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The for,going instrument was acknowledged before me
this day of Vail tW ei 20 ( `(by this day of ,�GV-&* 4.y-- 20 C Iby
0-ce (-`t:� e/' 4 h /)C z Gc/r L/ Ll
Name of person m ng statement Name of perso ing atement
Personally Known OR ced Identification Personally Known OR o entification
Type of Identificatio Type of Identificatio
Produced Produced
(Signature of N aF7AL
e o (S natu o y u - )
INRODRIGUEZJR. AL RIGUEZJR.
Commission No. COMMISSIOq"27319 Commissi = �° MY COMMISSION#GG32731Real)
EXPIRES-*
APR 24,2023 . EXPIRES:APR 24,2023
°p Bonded through 1st State Insurance " Bonded through 1st State Insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17