HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll 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: 612 Ash St Port St Lucie, FL 34952
Property Tax ID #: 3419-510-0166-000-2
Site Plan Name: Donald Yongue
Project Name: Donald Yongue
� DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with new 5V Metal roof
5V Metal (FL17022-R8), Titanium 30 (FL11602-Rl 1)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Stock No.
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 4112 Pitch
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 13,989.00
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic Building Height: 1 Story
OWNER/LESSEE:
CONTRACTOR:
Name Donald Yongue
Name: Dee Keihn
Address: 612 Ash St
Company: PDKRoofing.inc
Address: 1761 SW Biltmore Street
City: Port St Lucie State: _
Zip Code: 34952 Fax:
City: Port Saint Lucie State: FL
Phone No. (772)528-0113
Zip Code: 34984 Fax:
E-Mail: PDKRoofing.lnc@gmail.com
Phone No (772)528-0113
E-Mail PDKRoofing.lnc@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CCC1331408
It value of construction is Z500 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
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
Luc, ounty and posted on the jobsite before the first insspp�ecti•pn. If you intend to obtain financing, consult
w, leader or an alorn9f befor(y commencing work or r rdi g your Notice ofeommenr-ement.
Signature of Owner/ Ldsei /Contractor as Agent for Owner I Stgna�e of
Holder
STATE OF FLORIDA ` �` STATE OF FLORIDA
COUNTY OF 1-IT.LA �11 -.9— COUNTY OF s\--- Lu_u- -�_
Sworn to (or affirmed) and subscribed before me of
_>LP sical Pre a or Online Notarization
this day of by
Name of person making statement.
Personally Known (-� OR Produced Identification
Type of Identification
Produced
(Signore gf Notary Public -
Commission No.
S orn to (or affirmed) and subscribed before me of
Physical Presen a or Online Notarization
this day of ' 1 49LOY by
Name of person making statement.
Personally Known L >-- OR Produced Identification
Type of Identification
Produced
otary Public- State
,%MI JIRRE
MISSIONSION # # GG 2348 1 C mission No.
EXPIRES: July 4, 2022
NDERAGUIRRE
MISSION # GG 234
EXPIRES: July 4, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANG
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED