HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L 112'
O
>? 4 4 o 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: 211 Ramie LN Port St Lucie, FL 34952
Property Tax ID #: 3419-515-0106-000-9
Site Plan Name: Jonathan Montalvo
Project Name: Jonathan Montalvo
DETAILED DESCRIPTION OF WORK:
Remove and replace existing roof with new shingle roof system
Owens Corning Shingles (FL10674-R16), Omni Roll Vent (FL2847-R14), Tri-Built Sand (FL2569-R20)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical i Gas Tank —Gas Piping _ Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers , Generator ` Roof 2/12 Pitch
Total Sq. Ft of Construction: 2800
Cost of Construction: $ 14,750.00
Sq. Ft. of First Floor:
Utilities. —Sewer —Septic Building Height: 1 story
OWNER/LESSEE:
Name Jonathan Montalvo
Address: 211 Ramie LN
City: Port St Lucie State: _
Zip Code: 34952 Fax:
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)
CONTRACTOR:
Name: Dee Keihn
Company: PDKRoofing.lric
Address: 1761 SW Biltmore Street
City: Port Saint Lucie State: FL
Zip Code: 349.84 Fax:
Phone No (772)528-0113
E-Mail PDKRoofing.lnc@gmail.com
State or County License CCC1331408
'ouG VI {.LIIJLI Y4�1y11 „ �,�,,, �� [..UUCP a mrwKuru ivouce or Commencement is required.
If value of HAVC is $7,51)D or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
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 inspection. If you intend to obtain financing, consult
w h nder or a ttoPhe commencin work or ^ording your btoticof Commencement.
gna ure of Owner/ essee/Contractor as Agent for Owner
gnature of Co tractor/License Holder
STATE OF FLORIDA r;_
STATE OF FLORIDA
COUNTY OF_ ,� , I,r U (A a _
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
" — Physical Presence r Online Notarization
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� Ph sical Pres nce or Online Notarization
La day UU*Y'Y by
this � day of N �( , 200 by
this of_=O
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Name of person making statement.
Name of person making statement.
Personally Known "�R Produced Identification
Personally Known OR Produced identification
Type of Identification
Type of Identification
Produced
Produced
(Sign ure o Notary Public- State of Flori
(Sign ure of
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Commission No. ;•'tip ••. ,
Commission N
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LM '.'s MY COMMISSION # GG 234811
EXPIRES: July 4, 2022
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