HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -1 Permit Number:
J
•
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Q.e_(-aa.F
PROPOSED IMPROVEMENT LOCATION:
Address:I Z.2 9 'F
)RD7_t8
Legal Description:WuLt -s 510 A`\ 44 44 foAfk oP N ly5 1D 4 O S 180•18
MC 60, 2 1,40 r, esp LI N96 �4 0 rX O.V) d. // 40 W Q) W OP S i nd
Property Tax ID #: 1001^
Site Plan Name
Project Name: rn V t'3r�
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 3
Block No.
wove, c x;s-ti� rbo n�o,-der gal, -lo dkcK) Sena; l ho eo I,n sia11 �k�'_
okc�heCQ_c� oncd.er"h%e \+ , 5V r,X%(xk rco-a r) ord rv\ock1-lReA Vto'-1 rooc.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all Mat apply:
�HVAC Gas Tank ❑Gas Piping _ Shutters aWindows/Doors
❑ Electric ❑ Plumbing ❑ Sprinklers ❑ '
Generator ,�oof Roof pitch
Total Sq. Ft of Construction: 310d S . Ft. of First Floor:
Cost of Construction: $ 3a �1 Utilities:Sewer Septic Building Height: 2,0 .
OWNER`.AESCS,E�E:
CONTRACTOR:
Name r `YI�Tv 2 frown
Name: DQvQta,S izoe-
Address: il� 3 eo S f�-.
Company: re-,ck2 G A 9( PeY S , I C .
Addresss:L33-1) SZ S1Aktli s-'1
City: (3e at-N State: FL
Zip Code: 3496-1Fax:
Phone No.,56 (- 262 -- 0-1 `'1 G
City: `l' yo'r+' State: FL.
Zip Code: 3qT 1 Fax: -[12-2,81-716.3
Phone No. 712- 281-- 7-8L9
E-Mail:ShY'Qy3rl DI0'1 fb lNnoo•COm
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: IsJ 1C 4.& CO QJ foaFeCS COm
State or County License: CCC 132, 6S7 H
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Add ress:
Citv:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
k r recordi our Notice of Commencement.
commencln wor o
e of O er Les a /C ntractor as Agent for Owner
_SlSTATE
ignature of Co ractor/License Holder
OF FLORIDA \
COUNTY OFI�1L
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this A_ day of ;"�t.,ln3ft_ , 2010 by
Sw��>� 73&L-JP\)
The forgoing instr�u ent was acknowledged before me
this _ day of -20'02 by
Do�� 9• �r�
Name of person making statement
Personally Known OR Produced Identification
Type of IdentiPcation
Produced JI��
Name of person making statement
Personally Known _4�' OR Produced Identification
Type of Identification
Produced
(' ture f Notary blic- State of Florida)
(Sa re of Nota Public- State of Florida )
ign
Com is ' n No. �05" KEGAN CRAWF
MYCOMMISSION #G
° FXPIRES.October
''For rti°P
ission No.6,tM:G g5c- a
265055 �..n PGAN CRAWFO
03, 2022 MY COMMISSION#GG265
07d EXPIRES: October 03
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Code Red Roofers, Inc. Main office: 1 (844) 4 - CODERED
License #CCC1326574•
1 (844) 426 - 3373
License #CRC1326582 Fax: (772) 287-7763
info@coderedroofers.com • • www.coderedroofers.com
Submitted To: Sonya Brown Date: May 6, 2020
Address: 12387 S Indian River Dr
Jensen Beach
Phone: (561) 262-0746
State: FL I Email: sbrown0104@yahoo.com
Shingle Roof Proposal
We hereby submit specifications and estimates for: 1) Complete removal of existing roofing materials down to deck. g) add
211 R d dis d
/141 Si j (P 5�-5
r
emove an car exlstm
g non-stru gutters — not to be replaced.
3) Inspect plywood decking for damage; replace up to five (5) sheets.? q IskS
Please see Wood and Labor Addendum. M"d m 1 figs n"
4
Ke awl plywood to meet current code. Col►,P��7�►')
5) Installation of 301b ASTMD 226 felt; tag�ed to code.
6) Installations of accessory metals, drip edge, valley metal, and pipe stacks. 3 0*0 X 0
s.
8) Includes taxes, permit fee, trash removal, clean up, dump fees, labor, and materials.
/to
Roofing Contractor will supply erfwo{3) year Limited Warranty upon completion of the project.
We propose hereby to furnish material and labor — complete in accordance with the above specifications for the sum of
Dollars
.�t......�. .w..........v.. v� �..v v+1 flat 1Wi W 1VW JIVUGLL aM21------ ---------------- —-------------- ----- AAA ]:V41 fill /!Initi�I1
Total contract price with all selected options: -------- ------------------------------------------- $ 3f/, �7.5 Initial ��
A Project Manager will be assigned to your job to ensure high quality work
Quoted price is a cash price includes all rebates and discounts. An additional 3.5% convenience fee will be added to payments made by
credit card. Payment draws to be made as follows: 113 on contract acceptance, 113 prior to commencement, 113 within 15 calendar days
of completion. Completion is determined as the scope of work being substantially complete and ready for final inspection. Owner
may withhold an amount up to 10% of completion draw invoice, pending resolution of Corrective Work Request Form. Owner
understands and agrees by signature below that such withholding of payment may jeopardize application of workmanship warranty,
and that inspection scheduling is not within CRR's control. Outstanding balances may accrue finance charges at the statutory rate
(currently 18% per annum).
Note: This proposal may be withdrawn by us if not accepted within thirty (30) days.
Any alteration or deviation from above specifications involving extra costs will be executed only upon written order and will become
an extra charge over above estimate. All agreemInts are contingent upon strikes, accidents, or delays beyond our control.
Respectfully Submitted by: Matt Holloway at Code Red Roofers
Acceptance of Proposal
By signature below, owner indicates they are aware that current project scheduling is subjected to additional delays outside of Code
Red Roofers' control, including but not limited to material and labor shortages, and inclement weather. Time is of the essence in any
major project such as roofing, and Code Red Roofers will make best efforts to advance schedule dates whenever possible. The stated
prices, specifications and conditions are satisfactory and are hereby accepted. The Wood and Labor Addendum is also satisfactory
and herby accepted. You are auth9ozed to do the w,p* as specified. Payments will be made as outlined above.
Signature:; %0,, •
Page 1 of 1
Southeast Florida Treasure Coast Central Florida Panhandle
3341 SE Slater St 1166 Angle Rd. 700 Avenue C SE 942 Industrial Drive
Stuart, FL 34997 Fort Pierce, FL 34947 Winter Haven, FL 33880 Chipley, FL 32428
(561) 622 - 6343 (772) 287 - 2829 (863) 845 - 3120
(850) 225 - 5451