HomeMy WebLinkAboutHelena Davis - Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CC3U NT Y
F L O R 1 p P.
Permit Number:
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: 6887 Bronte CIR Port St Lucie, FL 34952
Legal Description: OLEANDER PINES BLK 2 LOT 7 (0.23AC) (OR 3523-2603)
Property Tax ID #: 3415-705-0138-000-3
Site Plan Name: Helene Davis
Project Name: Helene Davis
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Remove existing roof system and replace with new 5V metal roof
5v Metal (FL17022-R7)
Tribuilt Smooth (FL16048-R6)
Off Ridge Vent FL16994-R5
CONSTRUCTION INFORMATION:
Add ition a I wor to be performed under this permit —check a that ann v:
0HVAC L _I Gas Tank Gas Piping
Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction: 36
Cost of Construction: $ 20,147.00
Lot No.
Block No.
UShutters ❑ Windows/Doors
Generator W1 Roof 5112 Roof pitch
S Ft. of First Floor: _
Utilities: Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Helene Davis
Name: Dee Keihn
Address: 6887 Bronte CIR
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore Street
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No. (772)528-0113
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: PDKRoofing.lnc@gmail.com
State or County License: CCC1331408
11 value of construction is �zsuu or more, a 6 ELURUW Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
city:
City:
Zip: Phone:
Zip: Phone:
A1AlnICo/j, lki nwx
U-141-ni %Ajim i KAU UK Hrriuvi i : 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 fuN 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
coma cing work
c�r r%ordiog your Notice of Commencemeft,
Signature of Ownef/ Lessee/Contractor as Agent for Owner fignature of Con actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 3
1E,F COUNTY OF L Sig e—
The for ping instruknent was acknowledged before me
thisday of C.t 2Qpby
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State
Commission No.
MY COMMISSION # GG 234811
EXPIRES: duty 4, 2022
REVIEWS SU NG IFIRONT ZONIPERVIS
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instru ent was acknowledged before me
this day of k 20�)13 by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
{Signature of le
ry Public- State of Florida }�
Commission No.
ALEXANDERAGLItRRE
MY COMMISSION # GG 234811
REVIEW REVIEW REVIEW '.^ REVE
PLANS VEGE
IEW