HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: Re -Roof
PROPOSED IMPROVEMENT LOCATION:REROOF
Residential X
Address: 430 Emerald Avenue, Fort Pierce, Florida 34945
Property Tax 1D #. 2309-801-0013-000-7 Lot No.
Site Plan Name: Mohammad Abraham Block No.
Project Name: Mohammad Abraham
DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with new 5V Metal Roof system
5V Metal (FL17022-R8), LastoBond TU/HT (FL2569-R20), Off Ridge Vents (FL16994-R6)
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 -X- Roof 4/12, ID 12 Pitch
Total Sq. Ft of Construction: 2700
Cost of Construction: $ 15,780.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height: 2 Stories
OWNER/LESSEE:
CONTRACTOR:
Name Mohammad Abraham
Address:430 Emerald Avenue
Name: Dee Keihn
Company: PDKRoofing.lnc
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No. (772)528-0113
Address: 1761 SW Biltmore Street
City: Port Saint Lucie State: FL
Zip Code: 34984 Fax:
Phone No (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
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
Vd Ut: Ucun,iruLuon is znuu or more, a KLLUKutu 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 No 'te of Commencement must be recorded in the public records of St.
L Ie ounty and poste on the jgb<ite before the first i ect n. If you intend to obtain financing, consult
With I nder or an tt ne e e commencin work or c rdi g your No I fCo encement.
Sig caner/ essee Contractor as Agent for Owner
n o Contracto /license Holder
STATE OF FLORIDA
ST, ULGt_-e-
STATE OF FLORIDA `
COUNTY OF S_ �-
COUNTY OF
• --
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Y_ Physical Presence or Online Notarization
-
this �., day of _lAutZ4% 2020 by
this day of IIULCtVI 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si azure of Notary Public- 7tatdV F 'da)
(Signat re of -Notary Public- Sta o orida }
Commission
"•, ALEXANDER AGUIRRE
Commission No.
=DW IRRE
.SAY PL
> 811
';#: MY COMMISSION GG 234811
`JF,
*:
;off;
PIRES:July 4,202
'sFOFFLo�`
:Jul Y
Publc
2022
REVIEWS
1ondd
rd(�I'e fi!cUnd
r�s$$d� VISOR
PLANS
VEGE
E
EW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.