HomeMy WebLinkAboutFrank Dunn Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COi-iNTY �`
Permit Number:
Building Permit Application
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 APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 370 Smallwood AVE Fort Pierce, FL 34982
Commercial Residential X
Legal Description: RUHLMAN S/D SLK 6 W 1/2 OF LOT 20 AND ALL LOT 21 (024 AC) (OR 3529-268)
Property Tax ID #: 3403-805-0116-000-3 Lot No.
Site Plan Name: Frank Dunn Block No.
Project Name: Frank Dunn
Setbacks Front Back: Right Side: Left Side:
Remove existing roof and replace with new Shingle Roof
Tri-Built Sand(FL16048-R6) Owens Coring Shingles (FL10674-R15)
Omni Roll Ridge Vent (FL2847-R12)
CONSTRUCTION INFORMATION:
rtiona wor to e er orme un er t is permit — c ec a apply:
C�HVAC Gas Tank ❑Gas Piping_ Shutters ❑ Windows/Doors
Electric Plumbing Sprinklers Generator W1 Roof 3112 Roof pitch
Total Sq. Ft of Construction: 1700
S
. Ft. of First Floor:
Cost of Construction: $ 8500 Utilities: —Sewer1:1
Septic Building Height: 11Ft
OWNER/LESSEE:
CONTRACTOR:
Name Frank Dunn
Name: Dee Keihn
Address: 370 Smallwood AVE
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
p 34983
Zip Code: 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
-.---. �...- r- — o n11-9wV I'Auiice of %-9MFnen6emL'.ni Is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 post on the jobsite
before the first inspection. If you intend to obtain financing, colt with lender or an a orney before
commencina work or recording vour Notice of Commencprn 1.10
Signature of O er/ Lessee/Contractor as Agent for Owner
Signature of Co;"116or/LicenseTiolder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this Z�tkday of Mat-4, 20 U by
this 2-41 day of A arcA--1 207o by
f\
X0 Ktl� n
e'w L' 4�._.
Name of person making statement
Name of person making statement
Personally Known )4- OR Produced Identification
Personally Known &� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur Notary Public- State of orid )
(Signature of Notary Public- State of
da )
Commission No.='aR"Y+; {SeEXANbERAGtIIRRE
C mission No.
111-IEX�ND
M T COMMISSION # GO2348
1
= MY COt► MISSI
EXPIRES: July4,2022
oP^�'
'a{` EXPIRES:
%1,!B
BondedTb--
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17