HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 110 Riverview Drive, Jensen Beach, Florida 34957
Property Tax ID#: 4504-601-0014-000-5
Site Plan Name: Timothy& Carole Keatts Lot No.
Project Name: Timothy&Carole Keatts Block No.
[DqETAI�LEDDESCRIPTION OF WORK:
Remove existing roof and replace with new 5V Metal Panel Roofing System
5V Metal (FL17022-R8), Titanium 30(FL11602-R11), 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 'Roof 4/12 pitch
Total Sq. Ft of Construction: 24Sgs Sq. Ft. of First Floor: 24Sgs
Cost of Construction:$ 16,400.00 Utilities: _Sewer ^Septic Building Height: 1 Story
OWNER/LESSEE: CONTRACTOR:
Name Timothy&Carole Keatts Name:Dee Keihn
Address: 110 Riverview DR Company:F'DKRoofing.Inc
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City; Jensen Beach State: Address:1761 SW Biltmore Street
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
52
Phone No. (772) 8-0113 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.fnc@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 Commencemen ust be recorded in the public records of St.
Lucie County and posted on the jobsite before the first ins cti n. If you intend to obtain financing, consult
w' finder or an attorneybefo commencingwork or c rdi,g your-Noti C rrRnen ment.
Signature of Owner/Lessee/Contractor as Agent for Owner e of Contractor/ cen a Holder
STATE OF FLORIDA-- STATE OF FLORIDA
COUNTY OF F- L_uct E COUNTY OF S']L. Luck e
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Pres nce or Online Notarization Physical Pres nce or Online Notarization
this 7day of 4�1 2020 by this `—C day of (( A 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
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(Signature Notary Public-State of or a) (Signat a of Notar1,t;;tP'_n JrIA
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P `jFRY GUQ!•� iWr�RVUIRRE_,,,Commission No. •''': 11AMNDERAGUIRR£ Commission No. ` ' YCOMM{5:,; MY CflMM15510N#GG 234$11 �'EXPIRES!July 4-2029 EXPIRE
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REVIEWS FRO PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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