HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1A Permit Number: add 1'd S a
RECEIVED
Building Permit Application JAN 2.4 2020
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 IMPROVEMENT LOCATION:
Address: 3240 River Dr Fort Pierce, FL 34981
Legal Description: RIVER OAK ESTATES LOT 11 (1.10 AC) (OR 648-133)
Property Tax ID#: 2430-502-0011-000-8 Lot No.
Site Plan Name: Deborah Lloyd Block No.
Project Name:,
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with new Shingle Roof system
Owens Corning Shingles(FL10674-R15) 30# Underlayment(FL12328-R8)
HSF Skylight included(17-1023.19) pWi.K.i J?z�( R-
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—c ec a appy:
OHVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof y �� Roof pitch
Total Sq. Ft of Construction: 19 S Ft. of First Floor:
Cost of Construction:$ 19,400.00 Utilities: Sewer Septic Building Height: 1 Oft
OWNER/LESSEE: CONTRACTOR:
Name Deborah Lloyd Name: Dee Keihn
Address:3240 River Dr Company: PDKRoofing.lnc
City: Fort Pierce State:FL Address: 1299 SW Biltmore Street
Zip Code: 34981 Fax: City: Port Saint Lucie State:FL
Phone No.(772)528-0113 Zip Code: 34983 Fax:
E-Mail:.PDKRoofing.Inc@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 LIED 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 u intend to obtain financing, consult with lender or an atto ney before
commenin wor r cord' our Notice of Commenceme ,,
Signature of Owner/"Lessee/Contractor as Agent for Owner Signa ure of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
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this day of T��k u�/ 20?_d by this day of �4 `� �� f 20Z�by
Name of person aking statement Name of person making statement
Personally Known d Identification Personally Known OR Produced Identification
Type of Identificatio Type of Identification
Produced Produced
(Signatur ic- �q�F rid ) (Signature o a y u i �SSgida)
ALVIN Vorid lVlly
Commissi VYNJ y COMMISSION#GG32731gg oto=Y= � f SION#GG327319
(S al)
4,2023 Commission b R 24,2023(S I)
Bonded through 1st state Insurance Bonded through 1st State Insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17