HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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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: 360 Barraclough Street, Fort Pierce, FL 34982
Legal Description: REPLAT OF PALM GARDENS BLK 2 LOT12 (0.18 AC) (OR 3760-1973)
Property Tax ID #: 3403-802-0024-000-2
Site Plan Name: Jhonathan Osorio
Project Name: Jhonathan Osorio
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove existing roof system and replace with new 5V Metal Roofing System
5VCrimp ' . Tri -Built Smooth (FL16048.1)
FL 4 5.2
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work tojeee orme�under thispermit — check all h
j apply.
E1HVAC I _I Gas Tank E:] Gas Piping L_J Shutters a Windows/Doors
11 Electric ® Plumbing Sprinklers Generator Roof 1.5f12 Roof pitch
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 11990
S Ft. of First Floor: _
Utilities:[] Sewer E]Septic
Building Height: 12ft
OWN ER/LESSEE:
CONTRACTOR:
Name Savanna Concierge LLC
Address: 360 Barraclough ST
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. (772)528-0113
Name: Dee Keihn
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore St
City: Port Saint Lucie State: FL
Zip Code: 34983 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)
E -Mail: PDKRoofing.lnc@gmail.com
State or County License: CCC1331408
11 value 01 consiruciion is :>z�uu or more, a KtLUKLJtu Notice of Lammencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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:
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.
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 you intend to obtain financing, con>u1tt with lender or an attorney before
comm(Fn,�ing_work gr-ree6irdinglyour Notice of Com menceme , % 11
ure of Owner/'Lessee/Contrakdr as Agent for Owner Signature of Contra c r/License Ho
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF LUQ `, COUNTY OF S1. [_Q C i �_
The forgoing instrurpent was acknowledged before me
this,, day
o�f� ( 20 -)-o by
Name of person making statement
Personally Known �,Z OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- Stat of Flo)da )
Commission No.
ALEXANDER AGUIRRE
MY COMMISSION # GG 234811
The forgoing instrument was acknowledged before me
this 3o day of &) 4 20 by
Name of person making statement
Personally Known ;'< OR Produced Identification
Type of Identification
Produced
(Sign atu?e-oLN ota ry Public- State
Commission No.
ALEXANDER AGUIRRE
My COMMISSION # GG 234
8ond66 Thiu No Public Undorvrtkors r1Rr-a: rury 4, Zua
REVIEWS FR PLANS VEGETATION Amnoed I h "EVI COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
GATE
RECEIVED
COMPLETED
Rev. 8/2/17