HomeMy WebLinkAboutTerry McQuillen Permit ApplicationALL 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
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2712 Placid Ave Fort Pierce, FL 3498
Commercial Residential x
Legal Description: CORSO COURTS LOT 19 (0.25 AC) (OR 3175-1953)
Property Tax ID #: 2421-606-0019-000-5
Site Plan Name: Terry McQuillen
Project Name: Terry McQuillen
Setbacks Front Back: Right Side:
Left Side:
Remove roof and replace with new Shingle Roof system
IKO Shingles (FL30310-RO), Tri-Built Sand Peel N Stick (FL16048-R6),
CONSTRUCTION INFORMATION:
Addrtiona wor to e e orme under this permit —check a apply:
OHVAC ID Gas Tank Gas Piping _ Shutters
Electric 1:1 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: 30SgS
Cost of Construction: $ 12,820.00
OWNER/LESSEE:
Name Terry McQuillen
S Ft. of First Floor: _
Utilities: Sewer Septic
Address: 2712 Placid Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is
CONTRACTOR:
Name: Dee Keihn
Lot No.
Block No.
11 Windows/Doors
91 Roof ��� 2 Roof pitch
Building Height: 1 Story
Company. PDKRoofing.lnc
Address: 1299 SW Biltmore Street
City: Port Saint Lucie
Zip Code: 34983 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
State or County License: CCC1331408
or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: i 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:
h\A►Kico/ PAfUTDArTAo wrr�anr
— �sm. . Hppiicavon is nereoy made to obtain a permit to do the work and installation as indicated.
I certify that no y work or installation has commenced prior to the issuance of a permit.
whichcis in conflictctawith anyapplicableapplicableiHo e Owners Association rulest will , bylaws or aize ndpcovenants that may restrisubject
t o 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. If you intend to obtain financing, consult with lender or an attorney before
comm 'clqg work or ecwding your Notice of Commencernelit, 1
Signature of Owne
Agent for Owner I Signature of
Holde
STATE OF FLORIDA _ STATE OF FLORIDA
COUNTY OF :E�T COUNTY OF S1 - LkLck—e
The forgoing instr ent was acknowledged before me
this a day of e_rvl,VXW 263fDby
Name of person making statement
Personally Known bL OR Produced Identification
Type of Identification
Produced
The forgoing instrument w s acknowledged before me
this day of _V K%A2XV�W 20 f c;•yy
Name of person making statement
Personally Known vim- OR Produced Identification
Type of Identification
Produced
(Si ature of Notary Public- State of FLarida j
(Signaturk of Notary Public- State of orida
Commission No.
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Af EXANDEOAMIRRE
Commission Na Yo
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EXPIRES: ,fitly 4, 2022
%ter EXPIRES: Jul 4, 2022
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REVIEWS
FRONT
ZONING S SOR
PLANS VEGETA •VE
COUNTER
REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17