HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CC�C.! fV T Y
F L a FLi o it-
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349,92
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 7202 Marsh Terrace, Port St. Lucie, Florida 34986
Legal Description: MARSH LANDING AT THE RESERVE -PHASE TWO- LOT 55 (OR 4124-2143)
Property Tax ID #: 3321-805-0020-000-2
Site Plan Name: Keith Simmons
Project Name: Keith Simmons
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing roof and replace with new Tile Roof
Plantation Tile(FL28328-R1), Boral Tile Seal Underlayment(FL14317-R10),
Off Ridge Vent(FL16994-R5), Metal Chanel(FL5374-R5)
CONSTRUCTION INFORMATION:
Tdamonal worK to be ertormed under this permit — c ec a app y:
�HVAC Gas Tank ❑Gas Piping _ Shutters
❑Electric ❑Plumbing ❑Sprinklers ❑ Generator
Total Sq. Ft of Construction: 38Sgs
Cost of Construction: $ 27,900
Lot No.
Block No.
Windows/Doors
Roof Roof pitch
S Ft. of First Floor:
UtilitiesSewer ❑Septic Building Height: 1 Story
OWNER/LESSEE:
CONTRACTOR:
Name Keith Simmons
Name: Dee Keihn
Address:7202 Marsh Terrace
City: Port St. Lucie State: FL
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore Street
Zip Code: 34986 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
City: Port Saint Lucie State: FL
34983
Zip Code: Fax:
Phone No. (772)528-0113
Fill in fee simple Title Holder on next page ( if different
E-Mail: PDKRoofing.lnc@gmaii.com
from the Owner listed above)
State or County License: CCC1331408
If ua111n of �.. Menu _ - .,..........tea .
ul uummencemem is requlrea.
- -- • -••r -��+- • �nti vn mrrwv 1 I . µppncation is nereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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. ocitice of Commencement m be recorded and posted on the jobsite
befor first inspec ion. if u n end to obtain financing, c sul with lenderX an attophi y before
com nci work r c in o r Notice of Cammenceme / I 1
of Owner/Assee/Contracto gent for Owner I Signature of Contractor icense
STATE OF FLORIDA
COUNTY OF =l Lam.
The forgoing instrume t was acknowledged before me
this day of 20� by
�CJ h ,
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signatu of Notary Public- Stat f ida )
Commission No. _1SealL
ALEXANDER AGUIRRE
MY COMMISSION # GG 234811
REV] EWS
RECEIVED
DATE
COMPLETED
Rev. 8/2/I7
STATE OF FLORIDA
COUNTY OF
The forgoing instrume t was acknowledged before me
this,S)9 day of 20P-t,by
Name of person making statement
Personally Known 7t OR Produced Identification
Type of Identification
Produced
(Signature f Notary Public- State rida )
Commission No. .. Ir _ _ 1.
ALEXANDER AGUIRRE
MY COMMISSION # GG 234811
R PLANS VEG1=1%J=;5N2M11
REVIEW REVIEW I REVIEW I REVIEW