HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/20/2021 Permit Number:
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A Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1579
PERMIT APPLICATION FOR: Re-Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6906 Penny Ln, Ft Pierce, FL 34951
Property Tax ID#: 1301-611-0189-000-1 Lot No. 11
Site Plan Name: LAKEWOOD PARK-UNIT 9-BLK 109 LOT 11 (MAP 13/01N)(OR 1291-2660;2533-1218) Block No. 109
Project Name: Dobbs, Ricky- ReRoof
DETAILED DESCRIPTION OF WORK:
Remove existing roof down to decking. Install self-adhered membrane directly to decking, mechanically fastened.
Install 5V, 24 ga galv metal roof panels.
New Electrical Meter No Second Electrical Meter No
CONSTRUCTION-1 N FORMATION:
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 Pitch
Total Sq. Ft of Construction: 1,858 Sq. Ft. of First Floor: N/A
Cost of Construction: $ 10,700.00 Utilities: —Sewer _Septic Building Height: avg - 11'
OWNER/LESSEE: _ -- ----- -- CONTRACTOR:
Name Ricky Dobbs Name:Jason Morar
Address:6906 Penny Lane Company:Southern Roof Systems, Inc
City: Ft Pierce State: l; Address:2685 SW Domina Rd
Zip Code: 34951 Fax: City: Port St Lucie State:FL
Phone No.304-952-7712 Zip Code: 34953 Fax:
E-Mail: Phone No 772-324-9613
Fill in fee simple Title Holder on next page(if different E-Mail Jason@southern roof systems.com
from the Owner listed above) State or County License CCC1332470
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f value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SU�PPL-E—MENTAL 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 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.
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ig ture of wn Lessee/Contract as Agent for Owner Signat re of Con acto License Holder
TATE OF FLORIDA STATE OF FLORIDA `•�
s OUNTY OF COUNTY OF__ .5—t • Lt�C� ,
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d orn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
B cc N physical Presence or Online Notarization /Physical Presence or Online Notarization
0 o its 7�day of ► ,( CA_, 1 _,202� by this day of 2021 by �
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Z o w ame of person making statement. Name of person making statement.
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rsonally Known OR Produced Identification Personally Known --- OR Produced Identification o
pe of Identification Type of IdentificationCU
oduced Produced _
ignature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. l I lY (Seal) Commission No. '1 �_ (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED _ --------
Rev.