HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
M
coup
F l O I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: kok-
PROPOSED
IMPROVEMENT LOCATION:
Address: LAI–a \wAC'Kyo�k�O–T'es
Commercial Residential ')(
Property Tax ID #: lag bi I Lot No. __31
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
1_ _ J _ J
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
c
Electric _ Plumbing _ Sprinklers _ Generator KRoof S U'l
Pitch
Total Sq. Ft of Construction: 35 b� Sq. Ft. of First Floor:
Cost of Construction: $ �J ► �J Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Name:
Address: C4� �`�f !c^�� �,'�1r1( 7—
Company: �(�a4:L0
Address: oW,S�.
<��LAA pcz�2".)
City: ukof- f'L
-State:
Zip Code: 3445 D Fax:
City:RjftSmLt�.
State:
Phone No.
Zip Code: 52A 4K,
Fax:
E -Mail:
Phone No
E -Mail
A CWV &I L ' C_C_)C 1
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 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: 'N 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN T'*ORNEY BEFORE RECORDING YOUR NOTKE OF COMIy WCEME"."
Rev. 211119
UeL14AU
\*_ ure of wne / Lessee/Co tractor as Agent for Owner
Signature' -of Contract&q i se Holder
STATE OF FL RI P A
(��r
STATE OF FLORIDA
�r
COUNTY OF t (� o
COUNTY OF A('1Y�1
The forgoing instrument was acknowledged before
me
The forgoing inst u ent as acknowledged before me
this day of CJ 202. J by
this _E day of 20_�2t)by
\
V lm0
Name of person m king statement.
v
=°
gip' C'
Name of person making statement.
o'' •:s
:h •<:
Personally Known OR Produced Identif
�#icSt1""'
Personally Known OR Produced Identifica
or�c�A »''?p•
Type of Identification
Type of Identification
Produced
o
2 ?nl
Produced
3
CW&
o N N
Z rn
c O .
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CANJ�Qt q�
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(Signature of Notary Public- StatU2 of Florida)
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Nm
(Signature of Notary Public- State of Florida)
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Commission No. 1� 1�
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(Seal)
Commission No. (Seal)
N
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 211119
Lic #: CCC1331651
rT
FLO'ift,U
TOP SHIELD ROOFING
Date: 2/19/20
Address: 6812 Wadsworth Ter PSL
Dear Sir or Madam:
We ro ose to su 1 all labor and materials to replace your existing roof
We offer manufactures warranty on all materials and a 5 -year warranty on all labor.
The following is a breakdown of the work involved and includes all labor, material, and any sales tax:
Item
Unit
Qt $/Unit
Total
YES Tearoff & replace with new architectural shingles
Sq
37 $ 355
$ 13,135
NA Upgrade to premium shingles
S
$ 65
$ -
YES Goosenecks
Ea
$ 20
$ -
YES Roof vents
Ea
$ 20
$ -
YES Lead boots
Ea
$ 20
$ -
NA Replace wood fascia
LnFt
$ 10
$ -
2 Repair damaged plywood
Ea
$ 65
$ -
NA Stucco repairs
5 Ft
$ 20
$ -
NA Repair damaged truss
Ln Ft
$ 15
$ -
NA Soffit repair with minimum $250
LnFt
$ 15
$ -
NA ISO Board Insulation
LnFt
$ 200.0
$ -
NA Remove & replace torch -down roofing
S
$ 550
$ -
NA double shingle
S
$ 40
$ -
NA I Skylight
Ea
$ 400
$ -
Total contract amount
$ 13,135
The above prices include; Permits, Dumpster, architectural asphalt shingles (CertainTeed Landmark), new drip edge, new ridge
vents, new lead boots, new goosenecks, new valley metal and a complete peel and stick underlayment under shingles. We
propose to replace 2 sheets of plywood and re -nail sheathing back to code with 8D Nails All products will be installed to
manufacturespecs.
F h� Payments made an more than
seven days after receiving invoice will incur late fee. Shingle Color: Mt St W
Thank you for choosing Florida Top Shield on this and every project!
Submitted by,
Florida Top Shield Roofing, Inc.
Accepted by,
Owner
Print Name: L_ rio� Mc't`(h r1
13 772.494.8564 K4 TOPSHIELDROOF@ICLOUD.COM Q 204 S MAPLE ST FELLSMERE, FL. 32948