HomeMy WebLinkAboutBuiilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
"Kor low
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: 4302 Redwood Drive Fort Pierce Florida 34951
Legal Description: HOLIDAY PINES S/D-PHASE ill-LOT432(MAP 14118N)(OR 1101-2241)
Property Tax ID#: 1313-502-0009-000-8 Lot No.
Site Plan Name: Neil D'Avino Block No.
Project Name: Neil D'Avino
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove exsisting roof system and replace with new
IKO Shingles (FL30310-RO) Tribuilt Sand (FL16048-R6)
Lo-OmniRidge (FL2847-R12)
[CONSTRUCTION INFORMATION:
Additional work to e nerorme un ert ispermit—c ec a appy:
11HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator R1 Roof Roof pitch
Total Sq. Ft of Construction: �5 S . Ft. of First Floor:
Cost of Construction: $ 19,000.00 UtilitiestSewer D Septic Building Height: 1
OWNERAESSEE: CONTRACTOR:
Name Neil D'Avino Name: Dee Keihn
Address:4302 Redwood Drive 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 34983
Zip Code: Fax:
E-Mail: PDKRoofing.lnc@gmail.com Phone No. (772)528-0113
Fill in fee simple Title Holder on next page ( if different E-Mail: PDKRoofing.Inc@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 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 Pe first inspection. If you intend to obtain financing, consult with lender or an attor ey before
com ncjng work or c din our Notice of Commence t: -
Signature of Owner/L ssee/Cantracto gent for Owner Signature of Contractor/ 'tense Holder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OF Q COUNTY OF—
The forgoing inst ment w s acknowledged before me The forgoing instrMOQVVAW
nt wa acknowledged before me
`this L day of irr_X 2Q90by thQday of 2Cc'k by
Name of person making statement Name of person making statement
Personally Known Ne_ OR Produced Identification Personally Known !�L4.—OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign4ture of Notary Public-Sta e o rida ] (Signatu e o Notary Public- ate f Florida )
Commission N ? Commission No.
. ALEXANDERAGUIRRE ;' `." '—ALFJCANDERAGUiRRE
MY COMMISSION#GG 234811 =*i = MY
i*_ COMMISSION#GG 234811
Bonded hru Notary Public lend ters F°F R`''' nded Thry Note
� blic "REVIEWS RVISOR PLANS VEG OVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVI W
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17