HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: _ [%r,,�
(PROPOSED IMPROVEMENT LOCATION:
Address: 7 U!L
Property Tax ID #:
Site Plan Name:
Project Name:
DETAILED DESCRI
Re -Roof
OF WORK:
I CONSTRUCTION INFORMATION:,
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
�� _ Sprinklers _ Generator
Total Sq. Ft of Construction: �O Sq. Ft. of First Floor:
Cost of Construction: $ /7e•�1��QQ/// 1S0 Utilities: —Sewer Septic
Lot No.
Block No.
_ Windows/Dgors
Roof YZ Pitch
Building Height:.��
OWNER/LESSEE:
CONTRACTOR:
Name /
Name: Robert Donovan
Address:
Company: Total Home Roofing
City: GC State: FG
Zip Code: 1-'� �1 Fax:
Phone No. ?�2' �7 �Jr' �% ��Q
E-mail:
Address: 597 Haverty Court, Suite 40
City: Rockledge State: F
Zip Code: 32955 Fax:
Phone No 321-452-9223
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail Christa@throofing.com
State or County License CCC1330489
If value of construction is>ouu or more, a Rcwnuc., 11U.,�0 W •- •-�_..__.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 AILATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of ("SnIFI ssee/Contractor as Agent for Owner Signature o p
STATE OF/F7LORRI�g� p STATE F FLC
COUNTY OF l/GQ�W !A COUNTYOF_
The f r Ing instrument was acknowledged before me The forgoing ins
this% day of 20 `I by this day of
A' �"/- 1 'l .t. n. A. Robert Donovan
Name of person making'Ratement.
Personally Known 24 OR Produced Identification
Type of Identification
!dged before me
20A? by
Name of person making statement.
Personally Known42-4f—OR Produced Identification
Type of Identification
Produced
a4d!E -
(Signature of Notary Public- Stafe of Florida )
Commission No. ') �? ";-, (S ISTA-LYN SALMONS Co mission No.
MY OMMISSION # GG 9 63
EXPIRES: March 10, 202
REVIEWS I IAll
COUNTER I REVIEW I SREVIEWOH I tOt
REVIEW I vREVIEW
CHRISWPWYN SALMONSON
MY COMMISSION # GG 930683
REVIEW I REVIEW
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TOTAL HOME DATE
I HAVE READ AND UNDERSTANDTHfS PROPOSAL. THE TERMS AND CONORTIONS, AND ALL DOCUMENTS REPERENCEDTs1EREIN AND AGREETO BE
BOUND BY THEIRTERMS
ACCEPTANCE OF PROP09aL•The above prices, their specifications and conditions are sathfactoryand are hearby accepted. Contractor B authorized to do
the work as specifted. By signing Customer acknowledges that Customer Is owner of the property where work is to be performed.
ALL PAYMENTS ARE DUE UPON COMPLETION OF THE PROJECT.
Any delay in payments may result In 1.S% Interest per 30 days.
Wind Mitigations are not considered part of the project but offered as a service to our customers through a third party certified licensed Inspection
company and shell not be used as reason for any delay of final payment.
This agreement constitutes the entire contract by and between contractor and owner and parties are not bound by oral expressions or representation by
any parry or agent of either parry.
WI, r 1104 O E .h' , A�E
ORLANDO TAMPA
407-960-3810 813-302-7440
EVARD
BR
321-4552-922-92 23
TOTAL HOME
MEWAL6
DAYTONA JACKSONVILLE
386-233-3244 904-831-0555
�/1�� /
NAME: / Z4 6GTI� /•Il-�—
DATE �ZJ 2J
STREET: fro 6&0FW,dy �/1
/ s V
CCC1330489 [,
/ V//,J as
CITY/STATE/LP:
�l 3y9y�
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HOME PHONE:
3Z/- 3S-S-FZAOP
CELLPHONE: 772 73
EMAIL: / dV
"�^.t LFe x .:a. .ESS�RIP�IQN ��-'°✓I' `tit 1 "��"r'-�1...e...
�
$AMO N7't
ROOF Due Care taken to protect home exterior, shrubs and landscaping.
Includes Ixborto remove existing roof and haul off.
Includes Dumpster. Roll off dumpster for paver driveways.
Includes inspecting deck for damage and xenon hg ro code with 80 ring shank nails.
Includes saving Butters, sofFl4 fascia on existing home (some damage may occur in construction).
�,
/J
Includes replacing ridge J��/_hlNq/ L
COLO''Rln11
l
Includes existing drip In choke of color. DRIP EDGE
JI�/ (
naildge
11/4"replacing
Includes 1114" ronengconglednalls.
Includes Installing new shingles in choice of color. SHINGLE COLOR W�sn initialL
Includes replacing all lead boots and goose venu.(does not include gas related vents).
Includes new galvanized metal In all valleys. ""����
�GY�6>]. A-,,j9
Includes Starter Shingle and Ridge Cap per Code. ('1
Includes obtaining and posting permit with local jurisdiction. 414 6Ai4H
7T
Includes magnetically sweepinglob site, cleaning out gutters and hauling away debris.//A
MATERIAL
J9� ,J d/J
c iy
UNDERLAYMENT i
MISc /l
�`lo 40. &Y ISM, D% $f0.3b
12 IPI. gtlN
INCLUDES LIBOR AND DUMPSTERTO REMOVE — LAYER(S) OF SHINGLES.
ADDITIONAL LAYERS WILL COST$�PERLAYER Initial
Deteriorated existing decking replaced at $ per sheet of plywood
Deteriorated existing decking replaced at$ S per linear It. inf
-Does not Include lain" to match
•Doss not Include any stucco repairs where deteriorated gashing had to M replaced
WARRANTIES Worry-Free GOid <IZ, -p luted WORKMANSHIP INCLUDED
Worry-Free Platinum
•Flurrmis miry o) ymrworkmaruhlp woronry .
• OJSTOMER WAIVES INTERIOR DAMAGE PRE-INEPEC11011 - Cutdo., InIW/Is/_/%
(Any Interior damage which occurs during construction will not be verecd d
INCLUDES NEW WIND MITIGATION INSPECTION TOTAL
9 {y #1 My-as f 233./.f
EASY FINANCING OPTIONS
`i/f//0 Month Payment
'k/'711`0
1
IitoS 3,A.e. )\4,,
/ Is
9.90% APR
12 months NO INTEREST Is
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TOTAL HOME DATE
I HAVE READ AND UNDERSTANDTHfS PROPOSAL. THE TERMS AND CONORTIONS, AND ALL DOCUMENTS REPERENCEDTs1EREIN AND AGREETO BE
BOUND BY THEIRTERMS
ACCEPTANCE OF PROP09aL•The above prices, their specifications and conditions are sathfactoryand are hearby accepted. Contractor B authorized to do
the work as specifted. By signing Customer acknowledges that Customer Is owner of the property where work is to be performed.
ALL PAYMENTS ARE DUE UPON COMPLETION OF THE PROJECT.
Any delay in payments may result In 1.S% Interest per 30 days.
Wind Mitigations are not considered part of the project but offered as a service to our customers through a third party certified licensed Inspection
company and shell not be used as reason for any delay of final payment.
This agreement constitutes the entire contract by and between contractor and owner and parties are not bound by oral expressions or representation by
any parry or agent of either parry.