HomeMy WebLinkAboutPermit Appl for 6795 Dickinson TerrAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1�o LCs1C��1 F .
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Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6795 Dickinson TERPort Saint Lucie, FL 34952-8256
Property Tax ID #: 3415-706-0005-000-5
Site Plan Name: Kurtz
Project Name: Kurtz
I DETAILED DESCRIPTION OF WORK:
W.
Lot No. 134
Block No. 1
REMOVE EXTING ROOF COVER / RE -NAIL DECK UP TO CODE / INSTALL NEW UNDERLAYMENT - PEEL AND STICK
INSTALL NEW METAL ROOF / 1" NAIL STRIP
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
Total Sq. Ft of Construction: 4010
Cost of Construction: $ 23,000.00
Generator V Roof 5/12 Pitch
Sq. Ft. of First Floor: 4010
Utilities: —Sewer _Septic Building Height: 14'
OWNER/LESSEE:
CONTRACTOR:
Name Richard Kurtz
Name: MAURICIO ORELLANA
Company: ONE CONSTRUCTION & ROOFING
Address:6795 Dickinson TER
City: PORT SAINT LUCIE State: fL-
Zip Code: 34952 Fax:
Phone No.772-549-0034
Address: 2139 SW CONANT AVE
City: PORT SAINT LUCIE State: FL
Zip Code: 34953 Fax: N/A
Phone No 772-240-9497
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail oneconstructionservices@yahoo.com
State or County License CCC-1330623
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 ,� Zi Phone:
FEE SIMPLE TITLE HOL _ Not Applicable BONDING COMPANY• TNot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zi 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.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ��`E COUNTY OF
Sworn to (or affirmed) and subscribed before me of
t/PTi" , I Pre§e ce or Online Notarization
this ay of � 2021 by
Name of person making statement.
Sworn to (or affirmed) and subscribed before me of
�P sical Presence or Online Notarization
this \V day of 20241 by
Name of person making statement.
Personally Known L''' " OR Produced Identification Personally Known C- f OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- State o ri a (Signature of Notary Public- Stat o , r"i" a
t �e , PAULET'E BLAIR ALEXANC
•o��v°Go PAULETTE BLAIR•ALE; Ar��.`: Notary Public - State of Flo
Commission No. lr ? • h ssion No. 1; �. Sea��mmissionitGG48703
Notary Public • State o Florida '`:
Commission k GG MY Comm. Expires Sep 6, 9®R ry M Bonded through National Notary
v Camm. Fy��.e. �__ ,
and
d throu;h National N
tary Assn•
REVIEWS
FRONT
ZONIN
S
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20