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 Development5ervices
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: 1008 Enders RD Fort Pierce, FL 34982
Legal Description. KERR ADDITION TO WHITE CITY LOTS9, 10 AND 11 (0.34 AC) (OR 4042-1653)
Property Tax ID #: 3404-802-0009-000-4 Lot No.
Site Plan Name: Brandon Stubbs Block No.
Project Name: Brandon Stubbs
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove the existing roof system and replace with new Shingle roof System
Owens Corning Shingles(16048.1), Omni Roll Vent (2847.2), Tri -Built Sand (1604$.1)
CONSTRUCTION INFORMATION:
Additional war to be nerformed under this permit -- check all h appy:
E1HVAC Gas Tank E]Gas Piping In Shutters O Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof 6f12 Roof pitch
Total sq. Ft of Construction: 4500
Cost of Construction: $ 30,500
SFt. of First Floor: _
Utilities:cnsewer D Septic
Building Height: 10ft
OWNER/LESSEE:
CONTRACTOR:
Name Brandon Stubbs
Name: Dee Keihn
Address: 1008 Enders RD
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
City: Port Saint Lucie State: FL
Phone No. (772)528-0113
Zip Code: 34983 Fax:
E -Mail: PDKRoofing.inc@gmail.com
Phone No. (772)528-0113
E -Mail: PDKRoofing•Inc@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC1331408
11 vdluk! ai consirucnon is :�csuu or more, a HtCUKutu Notice of Commencement is required.
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:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 tkie first inspection. If you intend to obtain financing, co salt with lender or an ttorney before
comma n 'ng workQr rocorIn,g your Notice of Commencerngit�.
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Signature of Owner/ Lessee/Co tractor as Agent for Owner
Signature of Contf ctor/License FToTder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST-, UCCA e—
COUNTY OF S; - t—U C k 411 -
The for oing instrument was acknowledged before me
�
The forgoing instrument was acknowledged before me
this day` of �, 2VU by
this ,;L-7 day o'f K20 20 by
1
I
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2 w�
i< 0-'* hr�
Name of person making statement
Name of person making statement
Personally Known >e- OR Produced Identification
Personally Known %e OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
{Signatur of Notary Public- St to of FI i a J
{Signature of ary Public- Sta o orida J
Commission No. Seal
Commission No. Seal
t„n+aa ALEXANDERAGUIRRE
;, ALEXANDERAGUIRRE
.: MY COMMISSION # GG 234811`'
MY COMMISSION # GG 234811
J �• EXPIRES; J IY 4, 2022
RES; July 4, 2Q22
REVIEWS
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17