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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 rr 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$100 at contract signing and balance upon completi Payments made any more than seven days after receiving invoice will incur late fee. Shingle Color: Thank you for choosing Florida Top Shield on this and every project? Submitted by, Accepted by, Owner L Florida Tap Shield Roofing Inc. Print Name: goo to � � n�- � cep �.'NrPQ,3 car, vx-6 (7;7Z)S_6,7 ff.70 ® 772.494,8564 TOPSFiIELDRObF@ICLOUD_COM O 204 5 MAPLE ST EELLSMERE,FL. 32948 ICI !i I , NOTICE OF COMMENCEMENT Permit No. Tax Folio No.1�3o 3 01-3 State of Florida County of St.Lucie The undersigned hereby gives notice that improvement will be made to certain real property,and m accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of Property.(and street address if available): 7lJl ��t�c-r� ~ -�. t� F Pal i1 kDV i i+ta [t3}iy+s�6- 3S6Q--t3,0— 3igK1 General description of improvement:_ ye cbof Owner information or Lessee information if the Lessee contracted for the improvement: Name SAY xp-nmr- Address _�'iC� (� --e 3cue [ n M z can m Interest in property:_ J00-F o 5�-i= 9A'a Name and address of fee simple titleholder(if different from Owner listed above): Z &'9 m G)ln aimW cn A A 0-' 1 may- o�sC2 Contractor's Name: �l Fl1: - L o(�j W Z{- Contractor Address:ZU S y- .�Q.p ,._.._J l�,nxat Fi 3z�t�l Phone Number: T7Z`Y4�1 85(acl ODo m A O � Surety(if applicable,a copy f the payment bond is attached):Amount of bond:$ 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