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Date:
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Permit Number:alkxr)
~ RECEIVED
Building Permit Application JAm 012020
Planning and Development Services
Building and Code Regulation Division Permit.
t. L 9 Department .
St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED !M,PROVEMENTe LOCATIO.N;:
Address: 7693 Wyldwood Way Port St Lucie, FL 34986
Legal Description: RESERVE PLANTATION -PHASE I- LOT 11 (OR 3298-1341)
Property Tax ID #: 3321-801-0011-0004 Lot No._
Site Plan Name: Block No.
Proiect Name: Ronald Stone
!Setbacks Front Back: Right Side: Left Side:
DETAILED` DESCRIPTCO_IV OF`VIIORK:
Remove existing roof system and replace with new Tile Roof System installed to FBC
Polystick TLI Plus (FL5259-R29), Plantation Tile (FL28328-R1), Metal Channel (FL5374-R5)
CO_ NSTRUCTI-ON INFORMATION:
-'
Aclaitional worK to be performed - under this permit — checl
�HVAC Gas Tank ❑Gas Piping,
all
apply:
_ Shutters
Windows/Doors
Electric Plumbing
❑Sprinklers
Generator
Roof 7/12 Roof pitch
Total Sq. Ft of Construction: 53Sgs
S Ft. of First Floor:
Cost of Construction: $ 39,300
Utilities:
Sewer Septic
Building Height: 15ft
OWNER/LESS.E`E
a
CONTRACTOR;
Name Ronald Stone
Name: Dee Keihn
Address:7693 Wyldwood Way
Company: PD.KRoofing.lnc
City: Port St Lucie State: FL
Address: 1299 SW Biltmore Street
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No. (772)528-0113
Zip Code: 34983 Fax:
E-Mail: PDKRoofing.lnc@gmail.com
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
Fill in fee simple Title Holder on next page (if different
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 you intend to obtain financing, con ult with lender o5ran attorney before
com a cing wor or r corclijg your Notice of Commenceme
Signa ure of Ow4ry Lessee/Contractor as Agent for Owner
Signature of Contras r License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forpng instrument was acknowledged before me
7Jcv Zc;�6y
this 7 day of Ta,�+q 1 20 ZG by
this = day of w & ., s 20
Name of person Ing sta
Name of person maki�n statement
Personally Known�Lll� roduced Ide tification
Personally Known L/O entification
Type of Identificat
Type of Identification
Produced
Produced
(Signature of Not ry P
(Signature of Nota Public- S
-
Commission No.
ALVIN RODRIGUEZ JR.
MYCOMMMM)#GG327319
ALVIN RODRIGUEZ JR.
Commission No. �`1 YPU COMMISSI($� �327319
EXPIRES: APR 24, 2023
,� EXPIRES: APR 24, 2023
�mF Bonded through 1st State Insurance
"FOFn Bonded through 1st state Insurance
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DATE
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COMPLETED
Rev. 8/2/17