HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: 757 Cypress ST Port Saint Lucie, FL 34952
Property Tax ID #: 3419-501-0083-000-8
Site Plan Name. Mariana Garcia
Project Name: Mariana Garcia
I DETAILED DESCRIPTION OF WORK:
Remove exsiting roof and replace with new Standing Seam Metal Roof System
SSM (FL25621-R2), Titanium 30(FL11602-R11), Modified 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
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 19,000,00
Sprinklers
Residential X
Lot No.
Block No,
Windows/Doors _ Pond
_ Generator Roof 102, 2112 Pitch
Sq. Ft. of First Floor: 2100
Utilities: —Sewer —Septic Building Height: 15ft
OWNER/LESSEE:
CONTRACTOR:
Name Mariana Garcia
Name: Dee Kelhn
Address: 757 Cypress ST
Company: PDKRoofing.16'
Address: 1761 SW Biltmore Street
City: Port Saint Lucie State:
Zip Code: 34952 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
State or County License CCC1331408
from the Owner listed above)
IT value or consirucuon is z5puu or more, a KtLUKutD 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:
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
with -tender or aro.attornev.before commencing work or recording your Notice -of Commencement.
Signature of Owner Lessee/Contractor as Agent for Owner
ignat re of Contr for/License Holder
STATE OF FLORIDA ST �.UICt. ¢
COUNTY OF
STATE OF FLORIDA '
COUNTY OF ST Lu CA
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
3 Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this �, dayof_v1aAc&eT1 2020 by
this _jU day of Tlagq wl 12020 by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ,c. OR Produced Identification
Type of Identification
Type of Identification
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Produced
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(Signature of Notary
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EXPIRES. July 4, 2022
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REVIEWS
FRONT
SUPERVISOR PLANS
VEGETATION
SEA TURTLE
MANGROVE
ZONING
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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