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HomeMy WebLinkAboutPermit Applic for 6747 Dickinson TerrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �`tr LUC�DC� Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: ROOFING PROPOSED IMPROVEMENT LOCATION: Address: 6747 DICKINSON TERRACE PORT SAINT LUCIE FL 34952 Property Tax I D #: 3415-706-0017-000-2 Site Plan Name: KAMINSKI Project Name: KAMINSKI DETAILED DESCRIPTION OF WORK: REMOVE EXITING ROOF COVER / NAIL EXISTING DECK TO CODE INSTALL NEW TRI-BUILT PEEL & STICK UNDERLAYMENT INSTALL NEW 1" NAIL STRIP METAL ROOF New Electrical Meter Second Electrical Meter. CONSTRUCTION INFORMATION: Residential X Lot No.146 Block No. 1 Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof 5/12 Pitch Total Sq. Ft of Construction: 3004 Cost of Construction: $ 22,000 Utilities: —Sewer —Septic Sq. Ft. of First Floor: 3004 Building Height: 8' OWNER/LESSEE: CONTRACTOR: Name DANUTA KAMINSKI Address:6747 DICKINSON TERRACE Name:MAURICIO ORELLANA Company:ONE CONSTRUCTION & ROOFING Address: 2766 SW EDGARCE ST City: PORT SAINT LUCIE State: — Zip Code: 34952 Fax: Phone No.772-679-3344 City: PORT SAINT LUCIE State: FL Zip Code: 34953 Fax: E-Mail: N/A Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Phone No 772-240-9497 E-Mail ONECONSTRUCTIONSERVICES@YAHOO.COM State or County License CCC- 1330623 if value of construction is 2500 or more, a REGVKUW Notice or i_ommencemenz is mquucu. 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: Zip: Phone City: State: Zip Phone: FEE SIMPLE TITLE HO _ Not Applicable BONDING COMPA Not Applicable Name: Name: Address: Address: City: Zip: Phone: City: 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. C©aua.__Lck-0 0_t�& Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF STATE OF FLORIDA_ COUNTY OF S Swor to (or affirmed) and subscribed before me of P sical Preserif e or Online Notarization this i day of v. 2021 by Sworn to (or affirmed) and subscribed before me of "1h sical Presence or Online Notarization this Lday of 2020 by Name of person making statement. Name of person making statement. Personally Known i/ OR Produced Identification Type of Identification Pr ced Personally Known -'' OR Produced Identification Type of Identification Produced ure o otary Public- State F ) PAULETTE BLAIR•ALE a _,•� Notary Public State of 703 C�'7�, mn sion No. _. eall CommissionMGG98 ��� b '� syCommission ,:�1YComm. Expires Sep ssn. Banded through National Nota N to 3 6 2 (Signature of Notary Public- State o [ "e,•., PAULEITE BLAIR ALe r° •� �: NotaryPublic Stat t.= �( 's ue �` Commission r s No. M Comm. Ex ires y PcF onded through National REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED �_ev,5/6/20 R da