HomeMy WebLinkAboutMichael Radatz Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CC)Ur4TY
F L O R 1 p A -�
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 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1111 W Joy Ln, Fort Pierce, Florida 34945
Legal Description: AVON MANOR S/D-UNIT 1- BLK B LOT22 (020 AC) (OR 417-2220: 1074-577)
Property Tax ID #: 2303-610-0050-000-4
Site Plan Name: Michael Radatz
Project Name: Michael Radatz
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Tear off the Flat roof of the attached garage and replace with new
Modified Bitumen Flat Roof System (FL1654-R23)
Picture Attached
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Aclaitional work to e er orme un er this permit — check a apply:
0HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof 0112 Roof pitch
Total Sq. Ft of Construction: 6Sgs
Cost of Construction: $ $6,575.00
S Ft. of First Floor:
Utilities:Sewer Septic Building Height: 1 Story
OWNER/LESSEE:
CONTRACTOR:
Name Michael Radatz
Name: Dee Keihn
Address: 1111 W Joy Ln
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.inc@gmail.com
Company: PDKRoofing.lnc
Address: 1299 SW Biltmore Street
City: Port Saint Lucie State: FL
Zip Code. 34983 Fax:
Phone No. (772)528-0113
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: PDKRoofing.lnc@gmail.com
State or County License: CCC1331408
IT value or construction is >z5uu or more, a KtCUKDtD Notice os commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN 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 the first inspection. l you intend to obtain financing, cgnsNlt with lender or att rney before
com en in work or ec din r Notic mencem t.
Signature of Owner/ essee/Contractor as gent for Owner
Signature of Contrac r/License Holde
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �7T'
COUNTY OF `M--
The forgoing inst m nt as acknowledged before me
The for oing instr m nt as acknowledged before me
Q0
this day of 202--by
thi day of . 20,2�) by
Name of person making statement
Name of person making statement
Personally Known _/�L OR Produced Identification
Personally Known FOR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(sign ure of Not
Publi -
(5ignatur of Not
AL
Commission No.
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=m T poc EXPIRES: duly 4,
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
l,ev. 8/2/17