HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Plonning 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: 213 Ramie Ln Port St Lucie, FL 34952
Property Tax lD #: 3419-510-0330-000-3
Site Plan Name: Dennis Keeler
Project Name: Dennis Keeler
I DETAILED DESCRIPTION OF WORK:
Tear off existing roof and replace with new Shingle roof
Owens Corning Shingles (FL10674-R16), Omni roll Vent (FL2847-R14), Tri-Built Sand (FL2569-R20)
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Lot No.
Block No.
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 �C Roof Z-- Pitch
Total Sq. Ft of Construction: 2600
Cost of Construction: $ 12,000.00
Sq. Ft. of First Floor: 2600
Utilities: —Sewer —Septic Building Height: 15ft
OWNER/LESSEE:
CONTRACTOR:
Name Dennis Keeler
Name: Dee Keihn
Company: PDKRoofing.lnc
Address: 213 Ramie Ln
Address:1761 SW Biltmore Street
City: Port St Lucie State: _
Zip Code: 34952 Fax:
City: Port Saint Lucie State: FL
Phone No. (772)528-0113
Zip Code: 34984 Fax:
Phone No (772)528-0113
E-Mail: PDKRoofing.lnc@gmail.com
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
IT Value aT construction is LWO 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:
Zip: Phone:
City:
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.
Lugie- County and posted on the jobsite before the first in�er�tion. If you intend to obtain financing, consult
w thilender or a"ttoAev before commencinp, work or Kecordint; vour Notice of Commencement.
re of Owner/`lessee/Contractollas Agent for Owner
STATE OF FLORIDA
COUNTY OF S7)-- WCU,
Sworn to (or affirmed) and subscribed before me of
IPhysical Presence or Online Notarization
this 3— day of;:5nLA 20202by
gnature of Contractor/License H
STATE OF FLORIDA _
COUNTY OF � { . Lllt�tG
Sworn to (or affirmed) and subscribed before me of
C Physical Presen a or Online Notarization
this ' day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known
Personally Known >l OR Produced Identification
Type of Identification
rn;, F ANDERAGUIRi.
pe of Identification
Produced
•i
- •My...rAISSl0N#GG2_48i1
oduced
�^"••:'''••. ALEXANDERAGUIRRE
:-IRES: July 4, 2022
.� h4YCOMMISSION#GG234811
::L Thra No Public underwrite
IXF'IRf S: July 4, 2022
o"
(Sign ture of Notary ublrc- t
e of Flon a
ignat of Notat
ry u
S
Commission No.
(Seal)
Commission No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED