HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0-r. LSl'M' a15
av
° 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: 1914 Royal Palm Dr Fort Pierce, FL 34982
P ro pe rty Tax I D ##: 2421 -602-0041 -000-6 Lot No.
Site Plan Name: Debby Bruce Block No.
Project Name: Debby Bruce
DETAILED DESCRIPTION OF WORK:
Remove existing roof systems and Replace with new
Standing Seam Metal (FL25621-R2), Titanium 30 (FL11602-R11), Modified Flat (FL1654-R27),
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
Total Sq. Ft of Construction: 2800
Cost of Construction: $ 20,950.00
Generator _ Roof
Sq. Ft. of First Floor: 2800
1/12, 3112 Pitch
Utilities: — Sewer _ Septic Building Height: 15ft
OWNER/LESSEE:
CONTRACTOR:
Name Debby Bruce
Name: Dee Keihn
Address:1914 Royal Palm Dr
Company: PDKRoogng.lnc
City: Fort Pierce State: _
Address: 1761 SW Biltmore Street
City: Port Saint Lucie State: FL
Zip Code: 34982 Fax:
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 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:
MORTGAGE COMPANY: Not Applicable
Name;
Address:
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.
Lucie,,CoVnty and d on the jobsite before the first In tion. If you intend to obtain financing, consult
wit len . er or atta n before comm work or 1?cprding your Noticeof Co mencement.
'"
ee Contractor as Agent for Owner
Signature of Owner�A�
Signature of Contr for/License Holder
RI STATE OF FLO—
COUNTY OF � We c
STATE OF FLORIDA `
COUNTY OF S T, Dau P..
ts •
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
Physical Presence or Online Notarization
this LO day of tWL V 2020 by
this 10 day of S Ph(►`VW__ 2020 by
Name of person making statement.
Name of person making statement.
Personally Known >< OR Produced Identification
Personally Known X OR Produced Identification
Type of identification
Type of Identification
Produced
I
Produced
(Sign re of Notary Public-
State f Flor a)
(Signatu of Notary Public-
State o Ffori
Commission No.
ommission No.
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DATE
RECEIVED
DATE
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iev.5/6/20