HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
spa Luz
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: ((�" f 0) a CL AUA-7-
PROPOSED IMPROVEMENT LOCATION:
Address: 7 OuSO i
Property Tax ID #: UOt33- Otto- Lot No.
Site Plan Name; z1_"4wJ A' s �S+ezt es Block No.
Project Name:
DETAILED DESCRIPTION OF -WORK: -
6A
_ S Ctt�l �tC'_SI Sfij o nc"NT S 3
New Electrica! Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
c 1
Cost of Construction: $ Utilities: Sewer Septic Building Height:-A—
OWNER/LESSEE:
CONTRACTOR:
Name n,' 0-r-haif s O'la -i Cir
Name: 14 "
}9
Address: 310 P"'ge- S D(
Company:
City: I�LI1 CP State:
Address: G
Zip Code: 3 Li C7 Tf Fax:
City: ?bi State:
Phone No. TO-E-
Zip Code; . Nq n Fax:
Phone Na 7a 3q- `7 3
Mail: �Oo) I f nOW
Fill in fee simple Title Holder on next page (if different
E-Mail JCJYh. S190ct`
State or County License CC 1336 YJU
from the Owner listed above)
It 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:
DESIGN[
Name: _
Address:
City:
Zip:
UINEER
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:
Phone:
Not Applicable
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
tate:
BONDING COMPANY: Not Applicable
Name:
Address:
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 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.
I
Signature of C tr c��e
r Builder as applicable
STATE OF FLORIDA
COUNTY OF
sworn to (or affirmed) and subscribed before me of " Physicai Presence or Oniine [Notarization
this 5day of � a _ Zpaa- by
Name of person making statement.'
Personally Known V__� OR Produced Identification
Type of Identification Produced
(Signature of Notary Public -State of Florida)
CpNSTA=PKUULA
Commission No. (Seal]
YP
>F 'fir State of Flo
_a Commissiy
ComSepte
REVIEWS
FRONT
COUNTER
ZONING SUPERVISOR
REVIEW
PLANS
VEGETATION SEA TURTLE
MANGROVE
DATE
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
RECEIVED
DATE
COMPLETED
ev
ROOF ING
www.StLucieRoofing.net
1919 SW South Macedo Blvd • Port St. Lucie, FL 34984
Office (772) 344-7193 • JeffH.SLR@Gmail.com
License #tCCC 133o816
Date: 1/5/2021
OwnerName: Dennis Harding
Address: 4310 Thousand Pines Drive
Fort Pierce FL 34981
Phone #: 772-971-1408
Email Address: cii; { ✓1aw�
�4r ,
PROPOSAL CONTRACT
SCOPE OF WORK: STLUCIE ROOFING HEREBY SUBMITS THE FOLLOWING SPECIFICATIONS AND ESTIMATE:
I&f Complete removal of existing roofing materials down to plywood decking
C 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 1105.00 per sheet
Replace damaged fascia as needed, additional charges per foot will apply (does not include prime or paint)
L+6 All accessory metals to be 26GA
d Bid includes new pipe stacks and standard vents to existing locations as needed
Complete installation of peel and stick underlayment Resist Peel and Stick
C� Installation of galvanized steel metal roof system 26 Gauge 5V Crimp _Profile
❑ Installation of Limited Lifetime Warranted —FL Building Code Approved - architectural shingle roof system (Color }
❑ Installation of tile roof system Manufacturer Profile
❑ Flat roof to receive a single ply modified bitumen rubber roof system, torch applied Color
pp _peel and stick
❑✓ Bid includes 4 off ridge vents (this excludes Standing Seam Metal Roof Systems)
Skylights/Sofa-Tubes: _ Replace existing with new _ Close up (does not include any interior work)
2x2 zx4 Custom Other
I All gutters will he removed and disposed during tear off of at no charge unless homeowner has them removed by a professional gutter company prior
to work commencing and at the homeowner expense.
❑ Cable/Network Antennas: _Yes or _No ----------- -_ Active _ Not Active _None
El Solar panels _ Remove and dispose _ Must be removed prior to tear off (any cost related will be the responsibility of the homeowner)
l Driveway Condition: ✓Excellent —Fair _Poor _ Damaged/Has cracks
Bid includes taxes, permit fees (if applicable,} daily trash removal, dump fees, labor and materials
❑ REPAIRS ONLY: Ail repairs come with a yearworkmanship warranty at leak area only
Contract price reflects 5% discount —neighbor
New roof comes with a 7 (seven) yearworkmanship warranty and manufacturer's warranty.
THIS AGREEMENT 15 SUBJECT TO ALL APPLICABLE LAWS, REGULATIONS AND ORDINANCES, AND TO THE FOLLOWING TERMS AND CONDITIONS
1. We have' he 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 required
Payments have been made. You agree to pay all reasonable attorney's fee and costs incurred by us if we have any attorney toe nforce any part of this agreement. Should we file amechaniCs lien
against the property, you agree to pay the costs of preparing, serving and filing the mechanic's lien, including reasonable attorney fees. If any payment required by this agreement r not received by
its due date you agree to pay interest on the unpaid balance at the rate of lg%per year
-
2. We are not responsible fur damages from fire, windstorm, acts of God or other hazards that are normally covered by homeowner's insurance.
3. Replacement of the deteriorated decking, roofiacks, ventilators, flashing or other materials, unless stated otherwise in this contract, arc not inc€uded and additional charges wiR apply. (Labor rate
$95.00 per hour)
4, We are not responsible for delays caused by(i] anythingdonu or not done byawner or anyone hired or emplayed by homeowner a unauthorized changes to the work {iiil anywork delayed by
homeownerfor reasons atherthan weather/acts of God ornotauthorized by contractor (iv) disputed labor (v) fire or other casualties (vill de€ays in material delivery by suppliers
5, During the period of the any warranty we are not responsible far any damage below the roof due to leaks caused by wind/rain s terms in excess of 55MPH winds
6. Flat Roets:Contractor accepts no responsibility whatsoever for pending orstanding water
7, St tucie Roofing's Warranty is not valid until contract price (including upgrades and change orders items) are paid in full
8. Soffit repair or replacement is not induded in this bid
9. Building material suppiy companies and 5t. Lucie RUofngare not responsfhlp for damages to the drive way during delivery and ordamages beyond ourcontrol
TO. Final payment is due priorto final inspection
11, is5ues regarding damage to the property in or around the construction area will be addressed on acase-by-case basis. With substantial evidence, repairs to the damage will he considered by st.
Lucie Roofing. This could require obtaining three quotes and the homeowner may be responsible fur'1/, the cast of the repair(5. )
12. ALL ROOF SURFACES WILL BE LEFT IN A WATER PROOF CONDITION AT THE END OF EACH WORK DAY
13. Contract Canceiiation — If this contract is not retracted within five days from receipt of deposit a S%cancellation fee will be deducted prior to any refunds.
14. Any alteration ordevitivon 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 relatirg
to or arising outof this agreement, the parties shallsubmitto pre -suit mediation in St Lucie County r iorto filing suit. Vcnue forany litigation relatedto orarising out ofthe work performed shall lie
solely in St Lucie county. The parties furtherwaive trial by lu ry. In the event of any litigation related to or arising out of the work performed the prevailing party shall 6e entitled to an award of
reasonable attorney's fees
WE PROPOSE HEREBYTO FURNISH MATERIALAND LABOR — COMPLETE IN ACCORDANCE WITH THE TERMS ABOVE FOR THE SUM OF: $ Q QD Roof 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.
We accept payments via check, cash, money cirder or credit card (4.99% credit card fee per transaction)
Please !Vote: Due to sudden price increases from supply companies due to demand/acts of God lie. Hurricanes, floods ctc.) by manufac r is and/or dfstril ors, bid is subject to change.
THIS PROPOSAL MAY BE WITHDRAWN BY ST LUCIE ROOFING IF NOT ACCEPTS HIN 30 DAYS. Authorized Signature Date-4=2� Homeowner Signature
r� (� _Date l� 5
Deposit Amount ! Form of Deposit; CftZc � ) `�� a�
Date; Employee Initials:
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 2430-500-0003-000-3
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available THOUSAND PINES ESTATES LOT 3
(.50 AC) (OR 626-2481)
General description of improvements Re -Roof
Owner/lessee Dennis Harding
Address 4310 Thousand Pines Drive Fort Pierce FL 34981
Interest in property: Owner
Fee Simple Title holder (if other than owner)
Address
Contractor St. Lucie Roofing Inc
Address 1919 SW South Macedo blvd. Port St. Lucie FL 3498
Surety _
Address
Phone # 772-344-7193
Fax #
Phone #
Fax #
Amount of Bond
Lender
Phone #
Address
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be
by Section 713.13 (a) 7., .Florida Statues:
Name Phone#
Address
Fax #
In addition to himself, owner designates
.Phone #
Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiratic
commencement is one year from the date of recording unless a different date is specified. WARNING
ANY PAYMENTS MADE BY -THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CON
PAYMENTS UNDER CH.7I3,13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPS
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE, BEFORE THE FIRST INSPECTION. IF YOL
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
COMMENGMENT.
Owner/Lessee, or Owner's or ssee's Author
Owner
Signatory's Titie/Office
Ao -"VrZ;
m ;0 P n n
Dp—zlm
Gr
zA0rn
or'o1Zr
oo M
mnrn'�{ 0
m
4
MP
0
v w m
1
�3 m
m
z fl
n c
0
c
H
vinccrrtm-ector/Partner/Manager! Signature
State of Florida, County of L"G--
Acknowledged before me this day of J a,-� zp a_by �i',n�11�S� I'
who is personally known to me or who has produced (� art I '
as identi tcation.
C n n t,� (1� L
Signature of Notary Type or Print Name of Notary Seal
Title: Nota Public Commission Number
C0NSTANCF f'ROULX
��Sta[0 of Florida Notzty Public
Commission # G(3 256328
`' Carnmi
"u rL< •4 My ssioh Expires
Septerrrber 16, 2 pi