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HomeMy WebLinkAboutNicole Dehart Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: L J w 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: 934 Wagner Place Fort Pierce Florida 34982 Legal Description: WAGNER S/D BLK 1 LOT 38 AND E 1/2 OF LOT 39 (OR 3839-827) Property Tax ID #: 2427-702-0038-000-7 Site Plan Name: Nicole Dehart Project Name: Nicole Dehart Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Remove existing roof system and replace with new 5,4 L IPL-1 7 ozz- Zi ) Tr; bit hH Smoo+h (R.11'b 4%_ iZ(o) ©X V%6-1-t- Ycr* C F-L1Cog94 WTI Lot No. Block No, CONSTRUCTION INFORMATION: Additional work to be nprtormed under this permit - check an t apply: HVAC II-11 Gas Tank Gas Piping In Shutters Windows/Doors Electric ❑ Plumbing Sprinklers Ei Generator Roof 41�2 Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 18,216.00 S�Ft.j of First Floor: Utilities: LJ Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Nicole Dehart Name: Dee Keihn Company: PDKRoofing.lnc Address: 934 Wagner Place City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No. (772)528-0113 Address: 1299 SW Biltmore Street City: Port Saint Lucie State: FL Zip Code: 34983 Fax: Phone No. (772)528-0113 E-Mail: PDKRoofing.lnc@gmail.com E-Mail: PDKRoofing.inc@gmaii.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: CCC1331408 n vaiue or construction is :>ctuu or more, a KtCUKUtO Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I NER/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: Prone: BONDING COMPANY: Name: Address: City: Zip: Phone: _Not Applicable 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 first inspection. If you irytend to obtain financing, cqdsglt with lender or an attorney before com ending work oyreco(ding y r Notes -of Commencem t. ignature of Own e lessee/Contractor as Agent for Owner Signature of Contract/License Ho er STATE OF FLORIDA W_Q>_e_ STATE OF FLORIDA COUNTY OF 75—, COUNTY OF�- The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this n day of 20g�c`_by this �_l day of 2p_--.,, by Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature 6f Notary Public- State Florida_ {Signature of)4otary Public- State ) of Commission No. mmission No. a'"Y►`" AIF.XANDERAGUIRREa+Y► ALEXANDERAGUIRRE " MY COMMISSION # GG 234811 = MY COMMISSION # GG 234611 ,,,. erg •- :.� +,F o: 'XFu p y o: �' u y REVIEWS FRONT 1�' efS ANS VEGETATIO ! hry c i ers W REVIEW REVIEW REVIEW REVIEW COUNTE REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17