HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
r
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: 831 SE Solaz Ave, Port St. Lucie, Florida 34983
Legal Description: RIVER PARK -UNIT 6- BLK 61 LOT 12(MAP 34128S) (OR 4021-2532)
Property Tax ID #: 3419-545-0091-000-3
Site Plan Name: Lisa McBride
Project Name: Lisa McBride
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Remove and replace existing roof with new 5V Metal Roof System
Tri-Built Smooth (16048.1), 5V Metal (17022.1)
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to e erformed under t is permit — check —all Fapp y:
11HVAC Gas Tank ❑Gas Piping El Shutters Windows/Doors
E] Electric 0 Plumbing Sprinklers I Generator Roof 4112 Roof pitch
Total Sq. Ft of Construction: 1900
Cost of Construction: $ 11,110.00
S Ft. of First Floor: _
Utilities:Sewer ESeptic
Building Height: 1 story
OWNERAESSEE:
CONTRACTOR:
Name Lisa McBride
Name: Dee Keihn
Address: 831 SE Solaz Ave
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore Street
City: Port St. Lucie State: FL
Zip Code: 34983 Fax:
City: Port Saint Lucie State: FL
Phone No. (772)528-0113
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
E-Mail: PDKRoofng.lnc@gmail.com
from the Owner listed above)
State or County License: CCC1331408
IT value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER; Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone,.-
— Not Applicable
State:
Not Applicable BONDING COMPANY: Not Applicable
Na me:
Address:
City:
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
in conflictv ctt wiith aony applicableHorneAssociation rulesabylaws or and corv�enan s that build
subject
bit 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 applicatiors 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,Aloe first inspectio Ifveu intend to obtain financing,yonsult with lender or an ltorne before
com nci work or refo d ns vout Notice of Commencerrfent.
Signature of Owner/ Less
for Owner i 51mifire of Contractork ensue
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF lg- - L -A-u c_ COUNTY OF . L_ l.Lr..r, c
The forgoing instrument was acknowledged before me
this L day of 7ukk� - 20�+ by
Dc C'_
Name of person making statement
Personally Known. jC OR Produced Identification
Type of Identification
Produced
(Signatu of Notary Public- SkQt of Florida )
Commission No.. 11"•. ALE' AGiJII
+: My COMMISSION 100 234811
EXPIRES: July 4, 2022
REVIEWS I FRONT I ZONING
COUNTER REVIEW
RECEIVED _
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this ko day of _-3,A.\y 20 LV by
Name of person making statement
Personally Known _, OR Produced identification
Type of Identification
Produced
(Signature
s ALEXANDERAGUiRRE
Commission No. ycoMkil"G02348i1
EXPIRES: Juy 4, 21YL2
y..,di :°•,' Bonded Uru Notary Pubk Under an
S PERVISREVIIEWOR I REVIEW } PLANSVREVIEWEGETATIaN 15EA TURTREVEWLE I MANGRO
REV EWVE