HomeMy WebLinkAboutPermit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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V 107VTT 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:REROOF
Address: 5104 Sunset Blvd, Fort Pierce, Florida 34982
Property Tax ID#: 3402-608-0489-000-0 Lot No.
Site Plan Name: Tracy Bright Block No.
Project Name: Tracy Bright
DETAILED DESCRIPTION OF WORK:
Remove existing roof system and replace with new Asphalt Shingle Roof systemq
Owens Corning Shingles(FL10674-R16), Omni Roll Vent(FL2847-R14), Tri-Built Sand Underlayment(FL2569-R20)
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
Electric _Plumbing _Sprinklers —Generator _Roof 5112 Pitch
Total Sq. Ft of Construction: 2000 Sq. Ft. of First Floor:
Cost of Construction:$ 9,602.00 Utilities: —Sewer _Septic Building Height: 1 Story
OWNER/LESSEE: CONTRACTOR:
Name Tracy Bright Name:tree Keihn
Address:5104 Sunset Blvd Company:PDKRoofing.lnc
City: Fort Pierce State: Address: 1761 SW Biltmore Street
Zip Code: 34982 Fax: City: Port Saint Lucie State: FL
Phone No. (772)528-0113 Zip Code: 34984 Fax:
E-Mail:PDKRoofing.lnc@gmail.com Phone No(772)528-0113
Fill in fee simple Title Holder on next page(if different E-Mail PDKRoofing.lnc@gmail,com
from the Owner listed above) State or County License CCC1331408
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.
Lucie my and posted t jobsite before the first inspe io If you intend to obta' financing, consult
wit lend r or an r e of a commencingwork or ec r in our N o om ncement.
St ature of Owner/1- see Contractor as Agent for Owner Signature of Contracto License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 51-. COUNTY OF -r.
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization )6 Physical Presence or Online Notarization
this ;�_L day of 292-0 by this day of M(A wr—C;I;- 2020 by
Name of person making statement. Name of person making statement.
Personally Known K OR Produced Identification Personally Known x- OR Produced Identification
Type of Identification Type of Identification
Produced Produced
3
(Sign t o (Signature of N
GYP ALEXAN�_�r, IRREJ � Ypu ALEXA @ AGU#RRE
Commissi
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�}• EXPIRES:July 4,2022 =.tea. EXPIRES:July 4,2022
"F oQr %"re CoQ' nderwrilers
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20