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HomeMy WebLinkAboutPermit, contract 20 Aqua RaAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1�a W(CIL
:© Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential NZ
2300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: _ Q Agar a D,-'Iv� - —
Property Tax ID #: -coo a— Lot No. J—
Site Plan Name: Block No. _
Project Name: � �: �C�rn' i � V 1 Th-e- - -
DETAILED DESCRIPTIO"F➢WORK: i
�l-►�S -}� ��-�+' C?��r� S-}-, c�� � ���-e S l'h�� �f- (,E-�G� /�E U �,, �i �. � {� ��-Ge.rr� �� _ C�
� F
C
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 Generator Roof � Pitch
Total Sq. Ft of Construction: , _._ _ Sq. Ft. of First Floor:
Cost of Construction:$ (o. SSG. 013 Utilities: —Sewer —Septic Building Height: j
OWNER/LESSEE:
CONTRACTOR:
Nam
Name: J �l�'�►'t42S10 - ---
Company-.S-f Lu cI-e
Address: Qo i4qua PA. bi-
City: _ 2/j.5 3
Zip Code: ; qq57
Phone No. (PC) -' 7U1?-
C, h State:
Fax:
__
Address: 1919 SW Sr u %1?G l'� c_ ,t`JJ►/ --
City:?—Uo S3-- Lu (: Stater
Zip Cade: �Yq Z14 Fax:
Phone No-7?j7 3y+--7)9
E-Mail: %la-kj''. id' U-v n
Fill in fee s mi' p el Title Holder on next page (if different
from the Owner listed above)
E-Mail - F R - S i_ �- e e4'pi ,1, Cc t--\
.
State or County License C Cc 133L)
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
Name:
Address:
MORTGAGE COMPANY; _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 dome 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.you.r Notice of Commencement.
All -
Signature of 0wne es a ontractor as Agent for Owner
STATE OF FLORIDA [�]
COUNTY OF J C�
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this j' day of 202P by
t � r Rc(ryAnssti,
Name of person makiing's`tatement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notar P ap
C0s5 P 14otary pubii
tiaRY'0e(, ;StaFlorida- g5832g
Commission No State ofissiorrSi}xp'�ras
amiss * C� b®r�o 2422
1
ept
Sem
Signature of ContraVr/e)1se_ Holder
STATE OF FLORIDA
COUNTY OF Gt 1
Swot to (or affirmed) and subscribed before me of
✓ Physical Pres nce or _ Online Notarization
this id- day of JL4 202J by
e � � i or) _
Name of person makinj statement.
Personally Known �J OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Flori
PR0ULX
,,,�,,,,, CONSTAAN Pub
Commission No. RYPG of Fiori6 4ry
*= Commission # GG 25B e8B =.
?s ate= COMM
Exp
SePtern er
REVIEWS
NT
ZONING
SUPERVISOR
PLANS
VEGE�
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
-
DATE
COMPLETED
Rev. 5/6/Z0
Fron- Jeffrey Harnpson ieffh,s1r@gmai1.com
ubje Proposal 5_21(47).pdf
Date Jul 21' 2021 at 11:17:47 AM
µf- � bayter@comcast.net
Estimate please let us know if you have any questions or would
like to schedule thanks
i N
wwrwAtLucieRoefing.i of
191 Stet' South hllaredo 2 -1 Icrl S!_ Lucie. FL 34984
Office (772� 344-7193 . -I_=#iH.SLR@C-onail.com.
I.Idf�- '• i'
0-wrier ale -role- RenEf Oori if -Ile
Address: 20 Aqua fia or
Ifensea Bean FL 34957
Phone #i:- ISH-MI.5147
Email Address.
PROPOSAL/CONTRACT
SCOPE OF WORK: 5T LLIC1[ ROOFING HEREBY 5 U 9M ITS TH IF l3LLOWING S PECIACATioNS AND ESTtIVIATI:
Carnpletc removal of Existing roofing matwrialsdown to plyuraod dkcking
J� impect plywood awathling for nailing pattems and damages. Re -Mail is meet current Ioral bisili ing code
Replace up to 2 sheets of damaged plywaad ifoacessary; Airy additions sheets of plywood will be charged at iIUM per sheet
rreplacc darnasctl 4aacia os rrecaicd, adrtitional chalges per fact ton$ aPOV [does trot indude prime or poiml
AN accessory metals to be 26GA
J eisl indudca new gape stacks and Manti.ird vents tuexAW119 IaratiOns as needed
-J Clsmfi#ete installation of peel wA stick underlayment
J Installation of galvanized steel metal rcwf system
J Installation of Limited Lifetime Warranted —FL Building Code Apvraved-archftectural shingle roof system(Cdar__,,_ __a
J Ifritallation oftile roof skstean_ Manidacturer _ Profile '� Color
Flat rgof to receive a single ply madified baturnen rubber roof system _ torch applied peel and stick
J Bid includes off ridge wencs. (this sxct,l dqs - Standing Swam Metal Roof Systems)
J Sl[y#igirLslSosla•Tr�es: Replace existing with MW _ Close up (does not include arry interior works 2*2 2x4_CLstom _ Crther
AN gutters will be removed and 6isimsed during tear off of at rso Change oohs horricoNrnrr has them removed by a pnsfessional Rutter
company prior to work commencing and at the homeowow ekperae.
J Cable/Nertwork Antennas _ Active _ Not Active _Norio
.J Solar panels __ Rernuve and dispose _Must be removed prior to tear off tarty cost related will be the responsibility al the h ornenawner)
-J did includes taxes, permit Fees (if appfarablerl daily trash removal, dump fees, labor and materials
J REPAIRS ONLY: All repairs ct7m - with a ytr ear wkmamtmp warranty at leak area only
r lat Root ontY - rem-ove exlstmo Rao1 System dawn to 17 rAwdt renal! to Cape.lnslall Poly(llass 2 larjer Peel ano stick underlaymen€ to Cade
install Palr,ulass tAnpl€letl. Eel€omen �at� s#I e1 to CM6S#unples attle'ln wN rnatcn as bast as possthlf
Th-Dupit out ertttre }loot U any rippEfl ar tarn stll"1113 as neeacd per insp Won report
Seal all PCMtFa1I0r1S of] Root with Madltled Cement Caulkln
_Newroof crimes with a 7 {seven) ) yearworkmanship wrarranE� and manufacturer's warranty.
- ... FOR METAL COLOR U!`GRADFO;NLY .,
.:-ar7•irs:i'rr -n u-�i :: C,,-'r_.�Charc ... ... -_. _. _�z'�RC C.'•der to Cans ra7..
THIS AGREEMENT ISSUBJECT TOALL APPLiCAllti Latxz.4�Gt-L-ATIG'q!,A'4" I,11;LrItfANCIS, AND ToT14EFOEI OWING TER MSAND CONDITIONS
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%VE PROPOSE HEREBY TO FURNISH MATERIAL AND L.A'8� —COMPLETE IN ACCORDANCE WITH T44L TERMS ABOVE FORT ESUM OF: $ SID MUD
t4' 'it `
Root Replacem-prit PaymerA Schedule — 30% Contract Signirw 4P%.Progress and 30% at cormpkti,7 Payme Sdiadale — . Contract
SiSrkirkF, 6alariou an com*twn — mirPt Paw— %u cAK tah. �p Ptaww agdiiexe 1421% cif4lt �da�
P-- 01— 001V t-0— 4- 1. d. .0. Fd Pic 11."i— fig Xh •f 1� ti t'—VP
AMV H IHA PIWIPMAL Milf K WMWIAWk as 17 Lute r.,: . : "ZII, n U '" " *an,, a
Authorized Sig _mnyri"son o;,, T- 1,21 N flameowrwr Signal— — 7,,
F mm of Deposit: r4 /I
Depasit Arnatint: — Date: A Ernplovec 4niti all:
IF YOU WOULD LIKE 770"' ACCEPT THEI-300POIZAL AND
PROPOSAL
SUBMIT DEPOSIT FOR SCHEDULING PLEASE CONTACT
OUR OFFICE TO DO SO. WE LOOK FORWARD TO HEARING
FROM YOU!
Visit our website StLucieRoofing,_nr., to read our customers'
testimonials and reviews!
Jeffrey Hampson
St. Lucie Roofing
1913 SW South Macedo Blvd.
Port St. Lucie, FL 34984
Ph: (772) 344-7193
Fax (772) 207-7354