HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
_°u� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: roO,4 IfoD1U_�� Q(1
PROPOSED IMPROVEMENT LOCATION:
Address: Saf} Ck On I r
Property Tax ID #: Zo- G - 0(p - boo— 5 Lot No.
Site Plan Name; a; 1e_Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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CYI -�(-c nx i-at SYu`rwuS C-4ev— of Chn10.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
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 1a Pitch
Total Sq. Ft of Construction: _ :3L-� �J Sq. Ft. of First Floor:
Cost of Construction: $ 3� q95' L� Utilities: — Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR,
Name ,��_j . fYl +-,6rl
Name:._ , "-Iry
Address: SQn ,r- "rW
Company: afi -''�
City: st � `� State: fl
Zip Code: 5Y950. Fax:
Phone No. TICA 33 - 039c-j E-
Address: SO S-')
City:-_ i)b4 Sk 1.'0k State: fl
Zip Code: 3�(97�4 Fax:
Phone No 'Ji,;L 3 - -7(9 j
Mail:
Fill in tee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail ( r tf J Lj
State or County License 3 0V U
veU= V1 c.ViuuULUVII is cauu or more, a rctt,u►tutu 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: Nat 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure_ Please consult with your Homeowners 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 our Notice of Commencement.
ev 1
Signature o �.,r - or - Owner
Builder as applicable
STATE OF FLORIDA 4 ��
COUNTY OF [�
Sworn to (or affirmed) and subscribed before me of 1�Physical Presence or Online Notarization
this � day of DCC , 20 �-! by
`�`-e F-F r ie b S 5(1
Name of person ma[ci`ng/statement.
Personally Known Y OR Produced Identification
Type of Identification Produced
(Signature of Notary Public -'State of Florida)
o-e L,
_ ,a.
_= 4�rState at Florida -Notary Public
Commission No. (Seal)
Commission �f GG 258328
=� a= ,
9,� P�,v Commission Expires
pP�;
rrn' S�.piamber 16, 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
www.StLucieRoofing.net
1919 SW South Macedo Blvd • Port St. Lucie, FL 34984
Office (772) 344-7193 • JeffH.SLR@Gmail.com
License #CCC 1330816
Date: 12021
Owner Name: Eileen Merton
Address: 8287 Sandpine Cir
Port ST Lucie FL 34952
Phone #: 772-336-0344
Email Address:
PROPOSAL CONTRACT
'COPE OF WORK: ST LUCIE ROOFING HEREBY SUB MITS THE FOLLOWINGS PECIFICATIONS AND ESTIMATE:
9 Complete removal of existing roofing materials down to plywood decking
Inspect plywood sheathing for nailing patterns and damages. Re -Nail to meet current local building code
Replace up to 2 sheets of damaged plywood if necessary; Any additional sheets of plywood will be charged at 105-00 per sheet
i56 Replace damaged fascia as needed, additional charges per foot will apply (does not include prime or paint)
if All accessory metals to be 26GA
4 Bid includes new pipe stacks and standard vents to existing locations as needed
56 Complete installation of peel and stick underlayment Resist0 pCil and stick underla ment
❑ Installation of galvanized steel metal roof system Gauge Profile
24 Installation of Limited Lifetime Warranted —FL Building Code Approved - architectural shingle roof system (Color }
❑ Installation of the roof system Manufacturer Profile Color
❑ Flat roof to receive a single ply modified hitumen rubber roof system _ torch applied _ peel and stick
9 Bid includes 2 off ridge vents (this excludes Standing Seam Metal Roof Systems)
❑ Skylights/Sola-Tubes: _Replace existing with new _ Close up (does not include any interior work)
4n4 cxu Custom Other
61 All gutters will be removed and disposed during tear off of at no charge unless homeowner has them removed by a professional gutter company prio
to work commencing and at the homeowner expense.
❑ Cable/Network Antennas: _Yes or _No --------------Active _ Not Active _None
❑ Solar panels _ Remove and dispose M ust be removed prior to tear off (any cast related will be the responsibility of the homeowner)
Driveway Condition: ✓Excellent _ Fair _Poor _ Damaged/Has cracks
Z Bid includes taxes, permit fees (if applicable,j daily trash removal, dump fees, labor and materials
❑ REPAIRS ONLY: All repairs come with a yearworkmanship warranty at leak area only
-Remove existi__ng Roof system down toply!�ood renail to Code with 8d Install Resistoreel and stick underlaUm_ent to Code _
-Ind ll Archie rt l n9� coforQ�2 wi h ff i vg � n��rfn�#�od��_�
New roof comes with a.7 (seven) year workmanship warranty and manufacturer's warranty.
THIS AGREEMENT IS SUBJECT TO ALL APPLICABLE LAWS, REGULATIONS AND ORDINANCES, AND TO THE FOLLOWING TERMS AND CONDITIONS
1. We have the right to stop work, without first giving notice to you If any payment requested by this agreement is not paid by its due date. We are not required to start work again until the requires
Payments have been made. You agree to pay all reasonable attorney's fee and costs incurred by us if we have any attorney to enforce any part of this agreement, should we file a mechanic's lien
against the property, you agree to paythe costs of preparing, serving and filing the mechanic's lien, including reasonable attorney fees. If anypayment required by this agreement is not received t
its due date you agree to pay interest on the unpaid balance at the rate of 18%per year.
2 We are not responsible for damages from fire, windstorm, acts of God or other hazards that are normally covered by homeowner's in5uran ce.
3. Replace men tcf the deteriorated decking, roof jacks, ventilators, flashing or other materials, unless stated otherwise in this contract, are not included and additional charges will apply. (I-abor rate
$9S.l per hour)
4. we are not responsible for delays caused by (i) anything done or not done by owner or anyone hired or employed by homeowner (d) unauthorized changes to the work (iii) any work delayed by
homeowner for reasons other than weather/acts of God or not authorized by contractor (iv) disputed labor (v) fire or other ca sualties (vii) delays in material delivery by suppliers
5. During the period of the any warranty we are not responsible for any damage below the roof due to leaks caused by wind/rain storms in excess of 55MPH winds
6. Flat Roofs: Contractor accepts no responsibility whatsoever for pending or standing water
7. 5t Lucie Roofing's Warranty is not valid until contract price (including upgrades and change orders items) are paid in full
a Soffit repair or replacement is not included in this bid
9. Building material Supply companies and St. Lucie Roofing are not responsible for damages to the drive way during delivery and or damages beyond our control
10. Final payment is due prior to final inspection
11. Issues regarding damage to the property in or around the construction area will be addressed on a case -by -case haws. With substantial evidence, repairs to the damage will he considered by St.
Lucie Roofing,'Fhis could require obtaining three quotes and the homeowner may be responsible for % the cast of the repair(s_)
12. ALL ROOF SURFACES WILL BE LEFT IN A WATER PROOF COND71ON AT THE END OF EACH WORK DAY
13. Contract Cancellation — Ifthis contract is not retracted within five days from receipt of deposit a 5% cancellation fee will be deducted prior to any refunds.
14_ Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders
15. This contract represents the entire agreement of the parties. it may not be amended or modified, unless in writing and signed by the parties. In the event of any dispute between the parties relatii
to or arising out ofthis agreement, the parties shall submit to pre -suit mediation in St Lucie County prior to filing suit. Venue for any litigation related to or arising out of the work performed shall I
solely in St Lucie County. The parties further waive trial by jury. In the event of any litigation related to or arising out of the work performed the prevailing party shall be entitled to an award of
reasonable attorneys fees
NE PROPOSE HEREBYTO FURNISH MATERIAL AND LABOR — COMPLETE IN ACCORDANCE WITH THE TERMS ABOVE FOR THE SUM OF: $ $13,995.00
toof Replacement Payment Schedule — 30% Contract Signing 30% Work Commencement 30% In Progress and 10% Final inspection/Completion
Roof Repair Payment Schedule — 50% Contract Signing, balance on completion.
Ve accept payments via check,cash, money orderer creditcard (4.99%creditcard fee pertransaction)
'lease Note: Due to sudden price increases from supply companies due to demand/acts of God (ie. Hurricanes, floods etc.) by manufactures and/or distributors, bid is subjectto change.
THIS PROPOSAL MAY 8E WITHDRAWN BY 5T LUCIE ROOFING IF NOT ACCEPTED Wfii.+lJf1 30 DAYS.
Authorized Signature Date �1 r-�Homeowner5ignature �Sf�G�p Dat�j
}eposit Amourlt: �� Form of Deposit: Tt l �C� pate: Employee Initials