HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Li NTY �
F L C3 R 1 b A -
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 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 222 Ramie Ln, Port St. Lucie, FL 34952
Legal Description: RIVER PARK -UNIT 2- BLK 22 LOT 8 (MAP 34/22S) (OR 3900-2012)
Property Tax ID #: 3419-510-0325-000-5
Site Plan Name: Yooze Guys Investors LLC
Project Name: Yooze Guys Investors LLC
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Tear off existing roof and replace with new shingle roof system
Tamko Sh ing les(FL1 8355-R4) Omni Roll Ridge Vent(FL2847-R12) Tri-Built Sand Peel N Stick
(FL16048-R6)
Hciaiti onal worK to ]a errormed under this permit —check all apply`.
HVAC u Gas Tank Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers ❑ Generator❑ Roof �112 Roof pitch
Total Sq. Ft of Construction: 4100 S Ft. of First Floor:
Cost of Construction: $ 16,200.00 Utilities: Sewer E Septic Building Height: 12Ft
OWNER/LESSEE:
CONTRACTOR:
Name Yooze Guys Investors LLC
Name: Dee Keihn
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore Street
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
State or County License: CCC1331408
Address: 222 Ramie Ln
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
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)
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 Bolder 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 i tend to obtain financing, consult with lender or an attprney before
comrrlencing work or recor�g ycYir Notice of Commencement. r l Il
Signature of Owner/,Cessee/Contractor as Agent for Owner
STATE OF FLORIDA
CO U NTY O F_ j l�•u t L C:; nJ —�
The for oing instrument was acknowledged before me
this 2. day of ,<V\4" , 20 2Ci' by
UQ Ve .
Name of person making statement
Personally Known 0< OR Produced Identification
Type of identification
Produced
nature of Contractor/License H
STATE OF FLORIDA
COUNTY OF Sl - i.t,icce- CL •nF i
The far oing instrument was acknowledged before me
this L day of AAAc K4-k 20W by
be+—, KeA
Name of person making statement
Personally Known bL OR Produced Identification
Type of Identification
Produced
C;l Azz�
(Signature of
(Signature of Notary Public- St t
of F rida
Commission No.
ALEXRND AGUIRRE
; : My CAI ]ON#GG23481
Commission No.
<'+a "ie ,� EXANDERAGUIRR
= s IOMMISSION#GG2<
EXPIRES: July 4, M22
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EXPIRES: July 4, 2OZ
°► sorwea Tnti Notary PubNe Undenv�lera
sonaed rnru Notary Pubtk Undo
REVIEWS
FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17