HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
4ULM
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: 3519 Sunrise BLVD Fort Pierce, FL 34982
Property Tax ID#: Lot No.
Site Plan Name: Louis Cevetello Block No.
Project Name: Louis Cevetello
DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace with new Standing Seam Metal roof system
Standing Seam Metal (FL25621-R2),Titanium 30 Underlayment(FL11602-Rl 1)
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit--check all that apply:
_Mechanical —Gas Tank i _Gas Piping _Shutters Windows/Doors Pond
_Electric _Plumbing _Sprinklers Generator Roof 2112,400,l Oil 2 pitch
Total Sq. Ft of Construction: LJ000 Sq. Ft. of First Floor:
Cost of Construction: $ 47,950.00 Utilities: `Sewer —Septic Building Height: 1 story
OWNER/LESSEE: CONTRACTOR:
Name Louis Cevetello Name:Dee Keihn
Address:3519 Sunrise BLVD. Company:PDKRoofing.lnc
City: Fort Pierce State:11- Address: 1761 SW Biltmore Street
Zip Code: 34982 Fax: City: Port Saint Lucie State:FL
Phone No. (772)528-0113 Zip'Code: 34984 Fax:
E-Mail:PDKRoofing.Inc@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 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 a-nancing, consult
Vtqh lender or an att*ney before commencing work or rdin o o ' e of o encement.
Cx/./I Q, /6��T
Signature of 0 ner Lessee/ ontractor as Agent for Owner 5igna ure of Contr for/License older
STATE OF COUNTY OF— Si.
�.ltu COUNTY OFSTATE OF
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5 orn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
K_ Physical Pre ence or Online Notarization Physical Presence or Online Notarization
this�day of e@NN. 2�0by this�day of [}�ftMKF 0220 by
� K6 61 Dec Kt:t hn
Name of person making statement. Name of person making statement.
Personally Known X OR Produced identification Personally Known Y OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signatu of Notary (Sig 7g ature of Notary Pu AUANDERAGUMIE
ALEXANDERAGUIRRE
+ ' ly�k s,, MY CQ� oION#GG 23481 i
Commission No. MYC014( IoN#GG234811 Commission No. XP Cy 4.2022
EXPIRES:July 4 2022 =•'.'F oP:
`v;% °`F Bonded Thru Notaq Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20