HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4a 1 �� Permit Number:
_..,; RECEIVED
Building Permit Application DEC 12 2019
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 X
PERMIT APPLICATION FOR: Roof, �� `�
PROPOSED IMPROVEMENTLOCATION:
Address: 7300 Mystic WAY Port St Lucie, FL 34986
i --
Legal Description. MYSTIC PINES AT THE RESERVE LOT 16
Property Tax ID #: 3322-620-0021-000-5
Site Plan Name: Christopher, Lupino
Project Name: Christopher Lupino
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with new Tile Roof System 30#(FL12328-R8) +
TO Plus(FL5259-R28),' PolyFoam�m , Metal Chanel(FL5374-R4), Estate S Tile(FL28328-RO)
CONSTRUCTION INFORMATION:
AdClitional work to e performed un ert ispermit—checka
E1HVAC E]GasTank ❑Gas Piping
apply:
Shutters
Windows/Doors
Electric ❑ Plumbing
[=]Sprinklers
_
Generator
Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 40Sgs
S . Ft. of First Floor:
Cost of Construction: $ 35600
Utilities:
_
Sewer 0
Septic
Building Height: 14ft
OWNER/LESSEE:
CONTRACTOR:,
Name Christopher Lupino
Name: Dee Keihn
Address: 7300 Mystic WAY
Company: PDKRoofing.lnc
City: Port St 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 p9pted on the jobsite
beforythq first inspection. you 'nten to obtain financing, consult with d o.r an torney before
com c n work re rdin otce of Commencem
Z __7
(2
Signature of Own / essee/Contrac r as Agent for Owner
Signature ctor of Contr /License Hol
STATE OF FLORIDA
5't
STATE OF FLORIDA
SA- Lint
COUNTY OF
COUNTY OF e.
The forgoing instrument was acknowledged before me
this 12 day %)z 20L_l by
The for oing instrument was acknowledged before me
this day of 1' r C -e C,1 20 Ct by
of c r
kr
or_ C �<<°
Name of personng statement
Name of person�wng statement
Personally Known V OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur
o o u�LIW4%g&1prida)
(Signatureo N iRt d �f�UHbidaQ
1�Y FV
COMMISSION #GG3273
Commissio�24,
�C' MY COMMISSION #GG327319
2023 (S al)
y s�
MY
EXPIRES: APR 24, 2023
Commission + /ICC
1 st Stale Insu�tf�e I
OF� Bonded through 1st State Insurance
Bonded through
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION .
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17