HomeMy WebLinkAboutApplication ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: 7003 Sebastian RD Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 12- BLK 162 LOT 10 (MAP 13112S)
Property Tax ID#: 1301-614-0145-000-0 Lot No.
Site Plan Name: Brandon Warren Block No.
Project Name: Brandon Warren
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and Replace existing roof with new Shingle Roofing System
Tri-Built Sand(FL16048-R6), IKO Shingles (FL30310-RO), Omni Roll Vent(FL2847-R12),
CONSTRUCTION INFORMATION:
�ona workto orme under t is —checkpermit a apply:
HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
0-Electric Plumbing Sprinklers Generator Roof 4112 Roof pitch
Total Sq. Ft of Construction: 24Sgs S . Ft. of First Floor:
Cost of Construction:$ 10,400.00 Utilities:n Sewer 0 Septic Building Height: 1 Story
OWNER/LESSEE: CONTRACTOR:
Name Brandon Warren Name: Dee Keihn
Address:7003 Sebastian RD Company: PDKRoofing.lnc
City: Fort Pierce State:FL Address. 1299 SW Biltmore Street
Zip Code: 34951 Fax: City: Port Saint Lucie State:FL
Phone No.(772)528-0113 Zip Code: 34983 Fax:
E-Mail:PDKRoofing.lnc@gmail.com Phone No. (772)528-0113
Fill in fee simple Title Molder on next page(if different E-Mail: PDKRoofing.lnc@gmail.com
from the Owner listed above) 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: 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:
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 Comme cement may result in your paying tWice for
im�rMon
�nc
nts to your propert . A Notice of Commence me_r mu t be record an poste hejobsite
beirst insp do . If y u intend to obtain financi cons It with lend e an ey before
co g w rk(brtg!&rdindycrGr Notice of Commenc nt.
Signatu a of Owner Lessee/Contr Gras Agent for Owner - Signa ure of Contra or License Holde
STATE OF FLORIDA STATE OF FL IDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrumen w s acknowledged before me
this k day of C ` UR_ ,2Q.-tjby this t day of ' 2Q.Ae by
i� Ki__ L'_ D�z V_ ,
Name of person making statement Name of person making statement
Personally Known Dot— OR Produced Identification Personally Known vC OR Produced Identification
Type of Identification Type of Identification
Produced Produced
c�
(Signatur�of Notary Public-State of FI (Signature 4LNotary Public-State of on
Commission No. eal Commission No. Seal
iiA!► ALEXANDERAGUIRRE ALI:XANDERAGUIRRE
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EXPIRES July 4,2022 p EXPIRES:July 4,2022
REVIEWS FR °FF°''Zlo Nrna PLANS VEGETAT �FOF,` E�oT�d4�F�LSow % iAF1OM
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CO KLVILVV REVIEW REVIEW REVIE
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17