HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. L C MQj
COLT NT�
L O R I
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: 6905 Donlon RD Fort Pierce, FL 34951
Property Tax ID #: 1301-613-0108-000-6
Site Plan Name: Kristin Hall
Project Name: Kristin Hall
I DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with Shingle Roof system
Replace existing flat roof with new Modified Flat roof system
Residential X
Lot No.
Block No.
Owens Corning Shingles (FL10674-R16), Tri-Built Sand (FL2569-R20), SAP SAV Flat Roof (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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 3600
Cost of Construction: $ 17,100.00
Generator
Windows/Doors _ Pond
Roof 1112, 5112 Pitch
Sq. Ft. of First Floor: 3600
Utilities: —Sewer _ Septic Building Height: 18ft
OWNER/LESSEE:
CONTRACTOR:
Name Kristin Hall
Name: Dee Keihn
Address: 6905 Donlon RD
Company: PDKRoofing. Inc
City: Fort Pierce State: _
Address: 1761 SW Biltmore Street
Zip Code: 34951 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
Fill in fee simple Title Holder on next page (if different
E-Mail PDKRoofing.lnc@gmail.com
from the Owner listed above)
State or County License CCC1331408
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:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 propert . A Notice of Commencement must be recorded in the public records of St.
Lu " ounty and po ed n th jobsite before the first i sec Ion. If you intend to ob in financing, consult
w ie der or a tt r�y bef re commencing work o�e�orging your Mice--df CoWimencement.
{
signature of Owner/ essee/Contractor as Agent for Owner
Signature of Cant , c or/License H'cOder
STATE OF FLORIDA
COUNTYOF ST. L-Q._. Le
STATE OF FLORIDA
COUNTY OF 5T• ��-
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presenc or Online Notarization
this��day of l]�er►ti i�ye ►� ti by
this �� day of 2Q20 by
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Name of person making statement.
Name of person making statement.
Personally Known �( OR Produced Identification
Personally Known i(, OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sig azure of Notary Public- State
f Q
of Notary Public
ALEXANDERAG
IRRE
,. ALEXANDERAGUIRRE
Commission No.
•. a 1) MY COMMISSION#
GOWIfthis
n No. :,; MC V1S510N#GG23481
"o; EXPIRES: July 4,
2022
; EXPIRES: July 4, 2022
Public 1.i@d81WM
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Bonded Thru Notary
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DATE
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COMPLETED
Rev. 5/6/20