HomeMy WebLinkAboutBUILDING PERMIT 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:
Address: 4401 Redwood DR Fort Pierce, FL 34951
Property Tax ID #: 1313-502-0114-000-7
Site Plan Name: David Wheat
Residential X
Lot No.
Block No.
Project Name: David Wheat
DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with new Asphalt Shingle Roof System
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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
_ Electric — Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 6400
Cost of Construction: $ 28,400.00
Sq. Ft. of First Floor:
Windows/Doors _ Pond
X Roof 6112 Pitch
Utilities: _ Sewer _ Septic Building Height: 1 story
OWN ER/LESSEE:
CONTRACTOR:
Name David Wheat
Address: 4401 Redwood DR
City: Fort Pierce, State:
Zip Code: 34951 Fax:
Phone No. (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
Name: Dee Keihn
Company: PDKRooting.lnc
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
State or County License CCC1331408
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
It 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 County and posted on the jobsite before the first ins ection. If you intend to obtain financing, consult
wi ender or an at orne efore commencing work or 00rding yo r N-otice of ommencement.
C��A�
Signature of Ow r/ Lessee/Contrattbr as Agent for Owner
Signature of ntractor/Lice e Holder
STATE OF FLORIDA
COUNTY OF a—.
STATE OF FLORIDA
COUNTY OFZ5T, L.IfxK z
Sworn to (or affirmed) and subscribed before me of
01
Physical Presence or Online Notarization
this �1/ day of _\C. 2020 by
Sworn to (or affirmed) and subscribed before me of
Ph sical Presnce or Online Notarization
this CW day of 4 � 2020 by
Name of person making statement.
Name of person making statement.
Personally Known r�6R Produced Identification
Personally Known K OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur of Notary u
Commission No.
o-2pf for NDERAGUiRRE
ISSIRN # GG 23481!
'�. 6V*g:,lciy4,2022
of s�„ bonded Thru Notary public Underwriters
f (Signature No ry P
ommission No.
iGt,9 of oIVDERAGUIRRE
= t July4,2022
f °F f " Bonded Thru Notary Public Underwriter.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20