HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/09/20 Permit Number:
94T.LUCE 1� V
' a Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax-(772)462-1578
PERMIT APPLICATION FOR:Roofing- Shingle off Metal on
PROPOSED IMPROVEMENT LOCATION:
Address: $407 COQUINA AVE 34951
Property Tax ID#: 1341-608-0104-000-2 Lot No.30
Site Plan Name: Lakewood Park Block No 91
Project Name:
DETAILED DESCRIPTION OF WORK:
Re-Roof Shingle off 5V Metal on.
5V Metal-Integrity Metals FL29444
Underlayment-Polyglass MTS FL5259-R29 1 Modfed Bitumen For flat Roof-Polyglass SAV SAP- FL1654-R26
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _,,,,Gas Tank —Gas Gas Piping Shutters —Windows/Doors Pond
Electric _Plumbing _Sprinklers _Generator V_Roof 4/12 Pitch
Total Sq. Ft of Construction: 3156 Sq. Ft.of First Floor:
Cost of Construction:$ 16,000.00 Utilities: —Sewer —Septic Building Height: 12'
OWN ERAESSEE: CONTRACTOR:
Name Camille Welchei Name:Dillon Lowery
Address:8407 Coquina Ave Company:Ridgeline Roofing
City: Fart Pierce State:-EL Address:640 4th PI#101
Zip Code: 34951 Fax: City. Vero Beach State: FL
Phone No.772-643-5846 Zip Code: 32962 Fax:
E-Mail:Camille00007@aim.com Phone N0772-643-0745
Fill in fee simple Title Holder on next page(if different E-Mail Ridgelineroofingfl@gmail.com
from the Owner listed above) State or County LicenseCCC1331816
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
if value of HAVC is$7,500 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 Commencement may result in paying twice for
improvements to your property:A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the lobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
era
Signature of Owners Lessee�Contractor as Agent for Owner Signature i. of Contrd'ctor/License Haider
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF la-lika r COUNTY OF
Sworn to for affirmed)and subscribed before me of SW rn to(or affirmed)and subscribed before me of
Physical Pres n e or Online Notarization V hyslcaI Prese ce or Online Notarization
this �'► day of 2020 by this day of 2t]20 by
Name of person making statement. Name of person making state nt.
Personally Known % OR Produced Identification Personally Known J OR Produced Identification
Type of Identification Type of Identification
Produced Produced
ictl4A .!I'� 2 ' -
15ign ure of Notary blic- ate of Florida ) (5igna re of Notary Public 11te 111,49orida y
+ � .�•, TAYLOR L2,11
Commission No. 5 I •�" Notary pub it a�e`Ip ori+ii
A� `- y �39I1' n N 7AYLQR LYNNE QUIGLaEY
Commis for+GG 349982 ':'I• ` E: Kota P !i -
9vrcrC throng Natinra'.notary ssn.24 *� Omission.GG 344
REVIEWS FRONT ZONING ETATI N T' Ecxa'
COUNTER REVIEW REVIEW REVIEW REVIEW Hati al
DATE
RECEIVED
DATE
COMPLETED
ev.
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4773485 OR BOOK 4499 PAGE 1383, Recorded 10/28/2020 04 :18:00 PM
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 1301-508-0104-OON2
State of Florida,County of St.Lucie
The Undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Norida Statutes,the following information is provided in this Notice of Commencement,
Legal Description of property and address if available
LAKEWOOD PARK-UNIT 8- 6LK 91 LOT30 (MAP 13/02N) OR 1314-866)
General description o€improvements Metal Fie-Roof
Ownerllessee Camille Weichel
Address 6407 COQUINA AVE FORT PIERCE FL 34951
Interest in property:
Fee Simple Title holder(if other than owner)
Address
Contractor Rid eline Roofing phone# 772-643-0745
Address 640 4th PI #101 Vero Beach FL, 32962 Fax#
Surety Phone#
Andress Fax#
Amount of Bond
Lender Phone#
Address Fax#
Persons within the State of Florida designated by Owner upon whoto notices or other documents may be served as provided
by Section 713.13(a)7.,Florida Statues:
Name Phone#
Address Fax#
In addition to himself,owner designates of
Phone# Fax#
to receive a copy of the Linner°s Notice as provided in Section 713.13(1)tb),Florida Statutes. Mp€ration date of notice of
canunenmmeot is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADF.BY T14F OWNER AFTER THE EXPIRATION OF T14E NOTICE OF COMMENCEMENT ARE CONSIDERED WPROPE'sR
PAYMENTS CINDER CH.713.33,F.S.,AMD CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMPAFNCEMENT MtTST UK RECORDFD AND POSTED ON THRJOR SITE RRFO'RF THE FIRST INSPECTION.IF YOU DUEND T0014TAIN
FINANCING. CONSULT WM4 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENOMENT.
OxnerILessee,or Owner's ar Lessee's Awberixed Of ceriDirecterlPartner/Manogerl Signature
Signatory's TlflelOtYCe
State of Florida,County of India 4
Ir
Aell howled a before me this i'h day of ��j f 2{l by Me " ,
who i onally know to me or who has produced as identification.
Sign re of Notar Type%r Print?Vain. f Notary (Seal)
Title:Notary Public Commission lumber � � G �i $� r■vzaa icsal v
Notary Public•5tata of a�FI Florida
X lay Cows.E xires pr 1�1,2023
8andac throegh Natlord:Notary Assr.