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: 7807 Eden RD Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 3- BLK 24 LOT 21 (MAP 13111 S)
Property Tax ID #: 1301-603-0223-000-7
Site Plan Name: James Rouse
Project Name: James Rouse
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Remove existing roof and replace with new shingle roof system
Tri -Built Sand (16048.1), Omni Roll Vent (2847.2), Owens Corning Shingles (10674.1),
CONSTRUCTION INFORMATION:
Additional work to be be ormed under this permit —check 311 h appy:
HVAC Gas Tank ❑Gas Piping In Shutters Windows/Doors
❑ Electric ❑ Plumbing ❑ Sprinklers E]Generator Z Roof 4112 Roof pitch
Total Sq. Ft of Construction: 3300 S Ft. of First Floor: 3300
Cost of Construction: $ 15500 Utilities:Sewer Septic Building Height: 1 story
OWNER/LESSEE:
CONTRACTOR:
Name James Rouse
Name: Dee Keihn
Company: PDKRoofing.lne
Address: 1299 SW Biltmore Street
Address: 7807 Eden RD
City: Fort Pierce State: FL
Zip Code: 34951 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
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
E -Mail: PDKRoofing.lnc@gmail.com
State or County License: CCC1331408
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: Cit
zip: Phone Zi: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: ^ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 jobsite
befor a first inspection. if g,
intend to obtain financing, cult with lender or an altorne before
com nci' work r pK
qWngyout Notice of Cammenceent.�
Signature of Owner/�,6sse(e/Contractor a3-0dent for Owner I Sikrmfure of ContractodLifense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF L -k -L" C
The forgoing instrument was acknowledged before me The forgoing instru� t was acknowledged before me
this 1 L day of ,�.� 20� by this i 2 day of uE.�-ire.. 20 J by
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
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s
(Signaturltof Notary Public-
SQt
of Florida j
{Signature ota
Commission No. "+ ^ �.
ALE1AMWAWVME
Commission No.
ALEXANDER AGUIRRE
YCOMMI&WiGG234811
MY COMMISSION 0 GG 234811
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EXPIRES: July 4,2022
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EXPIRES: J* 4, 2022
Bonded thru Notary Publk Ulidewnbri
REVIEWS FRONT
ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW
REVIEW REVIEW
RECEIVED
DATE
COMPLETED
Rev. 8/2/17