HomeMy WebLinkAboutPermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
w
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: 7663 Charleston Way Port St. Lucie, FL 34986
Legal Description: RESERVE PLANTATION -PHASE I- LOT 37 (OR 2952-441)
Property Tax ID #: 3321-801-0037-000-2
Site Plan Name: Patricia Mansfield & James Franks
Project Name: Patricia Mansfield & James Franks
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Remove existing tile roof and replace with new Tile roof system
Saxony 900 Concrete Roof Tile(16-0711.05) 30#(12328.7) TU Plus(5259.1) Polyfoam(6332.1)
Skylights(17-1023.19)
CONSTRUCTION INFORMATION:
AdditionaT Work to be i3ertormed under this permit — check all h apply:
11HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric Plumbing O Sprinklers 1:1 Generator Z Roof Roof pitch
Total Sq. Ft of Construction: 7000
Cost of Construction: $ 59,600.00
S Ft, of First Floor: _
Utilities:iSewer D Septic
Building Height: 20Ft
OW N E RAESSEE:
CONTRACTOR:
Name Patricia Mansfield & James Franks
Name: Dee Keihn
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore Street
Address: 7663 Charleston Way
City: Port St. Lucie State: FL
Zip Code: 34986 Fax:
Phone No. (772)528-0113
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
E-Mail: PDKRoofing.lnc@gmail.com
Fill in fee simple Title Holder on next page ( if different
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 posed on the jobsite
beforre-th first inspection IF you intend to obtain financing, csu�t with I ergr an aj� orney before
com,fi�endine work ar�i'Wrdin vdur Notice of CommencemnX.
Signature of Owner/ see/Contractor a ent for Owner
r/License Holler
Signature of Co;,,/,r,,,A
STATE OF FLORI A
STATE OF FL
COUNTY OF LaJ�-�
COUNTY OF �ST: LL tC-.t c_
The forgoing iinstrurqent was acknowledged before me
The fo oing instru ent w s acknowledged before me
this � day of fi 1 , 2020 by
this day of 20)V by
De-e- ke, L
DZe— K Z,�,„
Name of person making statement
Name of person making statement
Personally Known _ OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
r
(Signature of Notary Public- State Florid }
(Signature & Notary Public- Stat of ida )
Commission No. 't"M (SAVMDERAGOPM
C mission No. DERAGkltRRE
MY COMMISSION I GG 23481
4151,
' : '. MY COMMISSION tt GG 23481
EXPIRES, 4
�aF .fly 2(?22
ra ? EXPIRES: July 4, 2422
7 A4nded Thr
u Notary Public Unde
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DATE
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COMPLETED
Rev. 8/2/17