HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
L# U. O GQ I D
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: 7348 Marsh TER Port St Lucie, FL 34986
Property Tax ID #: 3321-804-0033-000-3
Site Plan Name: Patrick Scully
Project Name: Patrick Scully
Residential X
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK: I
Remove existing roof and replace with new Tile Roof System
Boral Tile Seal(FL14317-R11), Saxony 900 Tile(FL7849-R14), Self Flashing HSF Skylights(17-1023.19)
Trimlock Metal Channel(FL5374-R6)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: I
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 6/12
Total Sq. Ft of Construction: 3600
Cost of Construction: $ 30,200.00
Sq. Ft. of First Floor: 3600
Pitch
Utilities: —Sewer —Septic Building Height: 1 Story
OWNER/LESSEE:
Name Patrick Scully
Address: 348 Marsh TER
City: Port St Lucie State:
Zip Code: 34986 Fax: `
Phone No. (772)528-0113
E-Mail: PDKRoofing.inc@gmaii.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Dee Keihn
Company: PDKRoofing.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
- - .. -W W. IJul r, a nr_wnur_u imume Qr wmmencemem is requires.
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:
Address:
City:
Zip: Phone
State
Name:_
Address:
City:
Zip:
Phone:
State:
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 i pe ion. If you intend to obtain financing, consult
wik�der or an attomev before commencing work o r our Notiee�of �ofnmengement.
Signature of Owner/ essee/Contractor a gent for Owner
Signa ure of contracto Lic nse Holder
STATE OF FLORIDA
STATE OF FLORI A
COUNTY OF
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
Physical Presence or Online Notarization
this day of 12020 by
this day of 12020 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
(Signature of Notary Public S
ALEXANDERAGUIRR
ture of Notary Pu +..
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Commission No.
OwISSION # GG 2
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ALEXANDERAGUIRRE
ission No. =* :* MYCC#i4N ON#GG2348i1
EXPIRES July4,2022
: >F. .02°`- EXPIRES: July d, 2022
Banded Tbru Notary Public Unde
writers
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