HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I p Wit] Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Port Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: { v0_� �� -k 1�v -1
PROPOSED IMPROVEMENT LOCATION: rko
Address:
Property Tax ID#:j30 10 — Qcx= 31 Lot No. l U
Site Plan Name: r Block No.
Project Name:
[DETAILED DESCRIPTION OF WORK:
-e �co
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New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
Mechanical __..Gas Tank —Gas Piping Shutters _Windows/Doors Pond
ElectricPlumbing _Sprinklers Generator Roof • 1,-,\ Pitch
Total Sq. Ft of Construction: l Sq. Ft. of First Floor:
Cost of Construction: $ o a® Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:NamejK&I W Ir Name: cAc r�Nckk"-
Address: l JG _ Company:
City: State: Address: Z�D S ,
Zip Code: Fax: City: 1tS [Q, State:—Fl—
Phone No. Zip Code: Fax:
E-Mail: ncnPhone No
Fill in fee simple Title Holder on next page(if different E-Mail h t r° Qi thd("� an•,
from the Owner listed above) Sta or County License ac m s l to S I
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: of 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 jobsite 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractof/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF IrCI I o i`1 4�`P�l- COUNTY OF 7 r��\Cs.f� Q.�AS�
worn to(or affirmed)and subscribed before me of 5w rn to(or affirmed)and subscribed before me of
Physical Presence 1 or Online Notarization � Physical Prese ce or Online Notarization
this 2 day of L CIO V�1^'1�P�,2020 by this�day of 0 m r,2020 by
Name of persch making statement. Name of person ml ment.
Personally Known V— _Q5 P rsonally Known OR Produced Identification
Type of Identification �;�y,. •,, ANALI M.VtEYRA pe of Identification
Pro d ':R `= COMMISS'ON#GG 907977 oduc
ed
\a� EXPIRES:August 27,2023
Ali °�' Bo9*Tutu"Otaty IN Ac tksie
{Signature of Nota Fiublic-'Tlate of Florida) (Signature of Notary Pub' -Sta ,, I y COMMISSION#Go 90 9
�� ���� ! .` EXPIRES:August 27,20
Commission No. U�1 (Seal) Commission No. { �F�;°`'{ ThruNataiyPut+ucU
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Lic#: CM 331651
F L
G
TOP SHIELD HOOFING
Date: 1019/20
Address:7701 James Rd Fort Pierce
Dear Sir or Madam:Chrise
We propose to supply all labor and materials to replace your existing roof(all Work to.be.performed by FTSR qualified
employees and no subcontractor}. We offer manufacturer's warranty on all materials and a 5-year warranty on all labor and a
limited lifetime warranty on shingles.The following is a breakdown of the work involved and includes all labor,material,and
any sales tax:
Item Unit Q $IUnit Total
YES Tearoff& replace with new architectural shin S9 18 $ 350 $ 6,300
NA Upgrade to PRO Shingles Ea $ 20 $ -
H
NA Upgrade to Premium Shingles Ea $ 180 $ -
NA Termination Bars Ea $ 20 $ -
NA Replace wood fascia LnFt $ 10 $ -
2 Repair damaged plywood Ea $ 75 $ -
NA Stucco repair Sq Ft $ 50 $ -
NA Repair damaged truss LnFt $ 15 $ -
NA Soffit re airwith minimum a$250 LnFt $ 15 $ -
YES11SO Board Insulation LnFt 4 $200.0 $ 800
YES Remove & replace torch-down roofing Sq 4 $ 480 $ 1,920
NA Remove Gutters S $ 3 $ -
NA Skylight Ea $ 450 $ -
Total contract amount. $ 9,020
The above prices include;Permits,Dumpster,architectural asphalt shingles(CertainTeed Landmark),new drip edge,new ridge
vents,new lead boots,new goosenecks,new valley metal and a complete peel and stick underlayinent under shingles.We
propose to replace 3 sheets of plywood and re-nail sheathing back to code with 81)Nails. All products will be installed to
manufacturer specs.Payments will be$100 at contract signing and balance upon completi Payments made any more than
seven days after receiving invoice will incur late fee. Shingle Color:
Thank you for choosing Florida Top Shield on this and every project?
Submitted by, Accepted by,
Owner L
Florida Tap Shield Roofing Inc. Print Name:
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® 772.494,8564 TOPSFiIELDRObF@ICLOUD_COM O 204 5 MAPLE ST EELLSMERE,FL. 32948
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NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.1�3o 3
01-3
State of Florida County of St.Lucie
The undersigned hereby gives notice that improvement will be made to certain real property,and m accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property.(and street address if available): 7lJl
��t�c-r� ~ -�. t� F Pal i1 kDV i i+ta [t3}iy+s�6- 3S6Q--t3,0— 3igK1
General description of improvement:_ ye cbof
Owner information or Lessee information if the Lessee contracted for the improvement:
Name SAY xp-nmr-
Address _�'iC� (� --e 3cue [ n M z can
m
Interest in property:_ J00-F o 5�-i=
9A'a
Name and address of fee simple titleholder(if different from Owner listed above): Z &'9 m
G)ln aimW
cn A A 0-'
1 may- o�sC2
Contractor's Name: �l Fl1: - L o(�j W Z{-
Contractor Address:ZU S
y- .�Q.p ,._.._J l�,nxat Fi 3z�t�l Phone Number: T7Z`Y4�1 85(acl ODo m
A O �
Surety(if applicable,a copy f the payment bond is attached):Amount of bond:$ o O
Name and address: N Phone number: A P? —'
m m
Lender Name: NIL Phone Number:
K K
Lender's address: _ � a
Z 1
n n
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
Name: IV& Phone)Number:
Address:
In addition to himself or herself,Owner designates MIA of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Phone number of person or entity designated by owner:
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE Of COMMENCEMENT ARE CONSiDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that?have read the foregoing notice of commencement and that the facts stated therein are true to the best of
y ledge and ehef,
(S1 nature of er or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this day of +t� , 2030,
By 1&J 1U S�Ttw as for _
Name of Person Type of authority(e.g.officer,trustee) Party on behalf of whom instrument was executied
Personally known—or produced Identification
(Signature of Notary Pub. -State of Florida)
(Print,Type,or Stamp Commissioned Name of Notary Public) Type of Identification produced EL
-'Vor Notary Public State of Florida
Xochitl Adilene Vargas
My Commission FH 049174
Of A Expires 00/3012024