HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
i
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: 7216 Marsh Terr Saint Lucie West Florida 34986
Legal Description: MARSH LANDING AT THE RESERVE -PHASE TWO- LOT 52 (OR 4101-929)
Property Tax ID #: 3321-805-0017-000-8
Site Plan Name: LOA& Humbert
Project Name: LirxiA Humbert
Setbacks Front Sack:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Remove and Replace roof
Plantation Tile (FL28328-R1) Off Ridge Vent (FL16994-R5)
Metal Chanel (FL5374-R5) Boral Tile Seal (FL14317-R10)
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit —check a apply:
[1HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator Roof 6112 Roof pitch
Total Sq. Ft of Construction: 39
Cost of Construction: $ 27,900.00
S Ft. of First Floor: _
Utilities:cn Sewer - Septic
Building Height: 1 Story
OWNER/LESSEE:
CONTRACTOR:
Name Lioda Humbee+
Address: 7216 Marsh Terr
Name: Dee Keihn
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore Street
City: Saint Lucie West State: FL
Zip Code: 34986 Fax:
Phone No. (772)528-0113
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmaii.com
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
City: Zip; Phone State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ rnIUTRArrnD Accrnurr. h _„__ •_ - . ,
-- •— --•• .. a . Appll�auuh n, 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 the first inspection. Ityou ir#nd to obtain financing, con ith lender or an attorney before
com - n work or ec in o Notice of Commencement
Signature of Owner/
for Owner
Contracto/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L-U-CA- COUNTY OF L thQ
The forgoing instrument was acknowledged before me
thisr4� day of vn 20,—Ly
Name of person making statement
Personally Known 17/— OR Produced Identification
Type of Identification
Produced
(Signatuke of Notary Public- State drFlo
Commission No. (Seal)
The forgoing instru,me t was acknowledged before me
this�� day of nrti 20`�Dby
V -0,- J,
Name of person making statement
Personally Known o•C OR Produced Identification
Type of Identification
Produced
(Signature of otary Public -State of F,orida ]
Commission No. (Seal)
1111 ;irPwk ,. ALEXANDERAGUIRRE II
N TIC
REVIEWS FRNr�1� bi� 11 REVIEW VREVIEWO
COU aFfC.•R
RECEIVED
COMPLETED
Rev. 8/2/ 17