HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a0 Permit Number: addl'4aa^l
RECEIVED
JAN 14 2020
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
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: 321,8 Mura Drive, Fort Pierce, FL, USA
Legal Description: SILVER LAKE PARK ADDN BLK 9 LOT 4(OR 3761-1139; 3783-866)
Property.Tax ID#: 2427=603-0100-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Chrome Castle LLC
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing roof system and replace with new Shingle Roof System
Tamko Shingles(FL18355-R4) 30# Underlayment(FL12328-R8)
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 10 Sqs SFt.of First Floor:
Cost of Construction:$ 5,550.00 Utilities:ln SewerEl Septic Building Height: 12Ft
OWNER/LESSEE: CONTRACTOR:
Name Chrome Castle LLC Name: Dee Keihn
Address:3218 Mura Drive Company: PDKRoofing.lnc
City: Fort Pierce State:FL Address: 1299 SW Biltmore Street
Zip Code: 34982 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 thepermit 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 he first inspectio If yop intend to obtain financing, sult with lender or an atto ey before
com a cin wor r r,e,tlordinglyour Notice of Commencemeot.1
O
Signature of Own r/Lessee/Contractor as Agent for Owner Signature of Contract r icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forpgqing instruqient was acknowledged before me
this 13 "'day of 20rf'by this j''day of aKoar2020 by
t7z � kz ih � pz -c k-r
Name of person making statement Name of pers p making statement
Personally Known_�OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identificatio
Produced Produced
(Signature of (Signature of No - o Florida
WW ALVIN RODRIGUEZ JR. ALVIN RODRIGUEZ JR.
�tl;?:Y?U6 trvr r� ISSION#Gl ��
Commission r' `NSC MY COMMISSION#GG3( 8 ) Commission No. ~� myrrimm
EXPIRES:APR 24,2023 y EXPIRES:APR 24,2023
«° Bonded through 1st State Insurance "�°Fn 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