HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 5306 Sunset Blvd Fort Pierce, FL 34982
Property Tax ID #: 3402-608-0505-000-9
Site Plan Name: Barbara Wolfe
Project Name: Barbara Wolfe
DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with new Shingle roof system
IKO Shingles (FL30310-R1), Omni -Roll Vent (FL2847-R14), Tri-Built Sand (FL2569-R20)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1700
Cost of Construction: $ 7,900.00
Generator Y Roof
Sq. Ft. of First Floor: 1700
4/12 Pitch
Utilities: —Sewer —Septic Building Height: 1 Story
OWNERAESSEE:
CONTRACTOR:
Name Barbara Wolfe
Name: Dee Keihn
Address. 5306 Sunset Blvd
Company: PDKRoofing.lnc
City: Fort Pierce State:
Address: 1299 SW Biltmore Street
Zip Code: 34982 Fax:
City: Port Saint Lucie State: FL
Phone No. (772)528-0113
Zip Code: 34983 Fax:
Phone No (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
Fill in fee simple Title Holder on next page (if different
E-Mail PDKRoofing.lnc@gmail.com
State or County License CCC1331408
from the Owner listed above)
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: 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Luci County and posted on the jobsite before the first ins ction. If you intend to Vttain financing, consult
wio lender or a at brne befor-e—commencing work orA,6coilcling yow-Notic.6of CiDdrimencement.
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Signature of Owne/rf L ssee/Contractor as Agent for Owner
Signature of Contr�tor/License Horder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S1
COUNTY OF Wu L
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
)o- Physical Presence or Online Notarization
__A Physical Presence or Online Notarization
this I{ day of T�{{ 2021 by
this It day of 2024 by
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Name of person making statement.
Name of person making statement.
Personally Known > OR Produced identification
Personally Known Ot- OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signs re of Notary 1c State o rida)
{Signat re Notary Public- State of FI a
Commission N rEXANDE RE
Commission No.
MY COMMISSION # GG 234811
MY COMMISSION # GG 23481l
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