HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
a Luycm
p n Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: r--e ry
PROPOSED IMPROVEMENT LOCATION:
Address: c} t Q C 1 -k [" 1 G' -
Property Tax ID 4: 3clIli - -SD3- C)3'I 1 3 Lot No. -
Site Plan Name: C)'-w R-- Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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New Electrical 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 h�_ Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ i c
; ISO,0i
Sq. Ft. of First Floor:
Utilities: — Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name L
CAM Sir}
Name:
Address: bO I Q 14aon r
14, CQ
Company:
C"
City: + esce State: 1f�
Zip Code. JL I, �:� Fax:
Phone No. S0~ L/cp a E-
Address: _ .919 Sine
S6't6 ck 151VC/
City: U/i -P
Zip Code: 3 Yj
Phone No
C 4. State:
Fax:
31-41,4-7 19 3
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
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E-Mail 1 h s c iL 01oti, I• r'+ S
State or County LicenseCCC 133�►�
II Vd1UC U[ WnsCrucvon is z5uu or more, a KLLUKULU 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 HOLDEN: 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 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 attornev before commencing work or recordine your Notice of Commencement.
Signature of Ca ra to - or - Owner Builder as applicable
STATE OF FLORIDA ,COUNTY
Lj_'
OF �
Sworn to (or affirmed) and subscribed before me of
��
Physical Presence or
Online Notarization
this _ day of Jan 209,9 by
N�-
Name of person making sst Cement.
Personally Known ✓ OR Produced Identification
Type of Identification Produced
C o
(Signature of Notary Public -State of Florida
CONSTANCE PROULX
Commission No. (Seal}
State of Florida -Notary Public I
Commission if GG 758328
My Commission
Expires
September 16, 2022
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Zev 102 1
www.StLucieRoofing.net
1919 Stihl SOLIth Macedo Blvd • Poll St. Lucie, PL 34984
Office (772) 344-7193 • Jeff H_SLR a@Gmail.corn
License i#CGC i 33os 16
Date: V25122
OvinerNarne_ Ricki-lampson
Addre55: 6012 Adonidia Place
Ft Pierce FL 34982
Phone ff:— 302-750.4625
1 Email Address-
PROPOSAL/CONTRACT
COPE OF WORK: ST LUCIE ROOFING laEREBYSUB MITS THE FOLLOWINGS PEOFICAT)ONS AND ESTIMATE:
Complete removal of existing roofing mats iais down to plywood decking
Inspect plyviood sheathing for nailing; patterns and damages. Re -Nail to meet current local building code
Replace up to A sheets of damaged plywood if necessary, Any additional sheets of plywood will he charged at $105.00 per sheet
06 Replace damaged fascia as needed, additional charges per foot will apply (dries not include prime or paint)
51 All accessary metals to be 26GA
L Bid includes new pipe stacks and standard vents to existing locations as needed
id Complete installation of peel and stick underlayment Resisto peel and stick underlayment
❑ Installation of galvanized steel metal roof system Gauge Profile (]
Lvf installation of Limited Lifetime warranted - FL Building Code Approved - architectural shingle roof system fCniori' � f
❑ Installation of the roof system Manufacturer Profile Color
Flat roof to receive a single ply modified bitumen rubber roof system _ torch applied _ peel and stick
' Bid includes 2 off ridge vents (this excludes Standing Seam Metal Roof Systems)
U 5kylights/Sola-Tubes: _ Replace existing with new _ Close up tdoes not include any interior work)
2x2 2x4 Custom Other
604 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 _Nonr-
J Solar panels — Remove and dispose —Must be removed prior to tear off (any cost related will be the responsibility of the homeowner)
s6 Driveway Condition: v"Excellent _ Fair _Poor _Damaged/Has cracks
i6 Bid includes taxes, permit fees (if applicable,) daily trash removal, dump fees, iabor and materials
❑ REPAIRS ONLY: All repairs come with a yearworkmanship warranty ntleak area only
Remove cxistin Roofs stem dolnm toplylrvood renail to Code with Sti Install Resisto Reci and stick underlayment to Code
_i_ 1a�1 Archit Oral Sbiii cols f G i hriv nnn] t
- ___i
New roof comes with a 7 (seven) year workmanship warranty and manufacturer's warranty.
THIS AGREEMENT IS SUB1ECIFTO ALL APPLICABLE LAWS, REGULATIONS AND ORDINANCES, AND TO THE FOLLOWING TERMS AND CONDITIONS
1. We have the right to slap wo k! wi#rout first nivinp notice to you If any payri renucstgd by this agreCtncnf i5 not paid by its due date wo any not rnquired to Start Work actin until 00 recli.11c
payments have been n3ade. you agree to nay all reasonable attorney's [Or, and ro5 i] incurred by us If we have any attdrfrey to enforce anygart of this agreement. Should we file a reerhanic's lien
egains" th_ property, Vou agree to paythr. costs of preparing, serving and filinr the mechanic's lien, indudingrcASonablc attorns,y fire tf anv payment required by this aerecri is not received I
its duc dale yLu agree to payinterest an lhe. unpaid balance at the rate of lEY.peryear.
2- :tie are notrnsponsible fordamai from fire, windstorm, acts orGod Or other hazards that are normally roveied E: y horneawner's insurance..
A. Riipfalt:p nl of the Caleriorated decking, root jacks, ventilators, flashrn5 or other meterals, unless stated Otherwise in this Contra[", are not included and additional charges sjili apply. !Labor rate
<9s_Ufl per haurl
SVi- are not responsible foe dmlys Caused bytil inyinint done or nai done byavrri anyone hired or eriip loved by homcoWner(iif unauthorised changes to the .varle (iiil any wank delayed by
homeowner for reasons other than weatherfacts of God or not aulhi by ccnirartar lie) disputed !abar (v) fire or other casualties (vii) Belays in material doiivery by Suppliers
5. Di the period of the any warranty we arc not responsible for any danigc! belO'W the i duc to Imiks caused by wind/rain 5ri in excess or Sahl Plt Viinds
G. FiteRoo{S:CpntracEor a-[epts no resporrs;oility v:hnLocvcrfor ponding or5lvndin;, watCr
/. St Lucic Poi Wivai is riot valid until contract price lincluaii upgrades and change oFdi iF7.m5} ,ry )said in 'Oil
S. 501 orrnrlaceni is not included }n tni; Lid
9. Building maleria[ supply Companies and Si Lucie Rooting arc not responsible for damages to the dri,a way during cl lhycry and ordamages he.yond our control
1D. Final payment is chye prior to finai inspection
it. 11 rL'carding damage to the pr op P, rty in or arollrtd EhC rons tru(lion area -fl be addressed op a Case -by -case Las is With substantial evide n Cc. l co8if5 to the trai veal tie consiarri by Si
Lucie Roofing. Tleis could require obtaining three quotes and the horneo wn cr may be res pi ih!e for V, the Bost of Ihe re pair js.l
)2. ALL ROOT' SURir!_CCS WILL BE t, FfT IN A W/ ITR PROOI COSfflfTlQN i,l Till I rd i) UI EACIi 'XORK i
13. Contract Cancellation - If this contract is not re'racted within five days irr,ri rice ipl of depoiit d 5"iCiintr;ialitm fee will be deduflCd prior la art y refilnd,,
14_. Any artcralion of deviation from above SpeClflCulio115 involving extra cosis will be. P=Cuted only upon mitten ordcl,5
ts. This contract represents the entire agreement of the patties. It may not be amended or modified, unless ins rating andsignt:d by the. parties. In Ihe evert of any dispute bet;vecn the, parties retalil
to or arising out of this agreemont,the parties shall submit to pre -suit mediation in St Luci, County prior to filing suit. YeAtIC f0T any litigation related to or arising out of the tvi performed shall I
sorely In st Lucie County.7he parties further waive trial by jury, in Mil event at anynugation n„gated to or arising out of the vrork performed the p revai4!ng party shall bi°_ entitled to an nrarcl of
reaso.i attorneys fec,,
VE PROPOSE HERE13YTO FURNISH MATERIALAND LABOR - COMPUTE IN ACCORDANCE WITH THE TERMS ABOVE FOR THE SUM OF:8
Roof Replacement Payment Schedule - 40% Contract Signing ---------- ---- - 50% In Progress ----------- ---- 10% Final inspectionJCompletion
Roof Repair Payment Schedule - SG% C,-,ntsact Signing, hatance on v3mptetloss,
We acrept payments i chetk, cash, money order or credit card (4.99i, credit rard fee per transocrinnl
Please Ncui Do,, SO sudden price increases from supply companies due to dernarri of God (ru. Hurricanes. floods etc.} by r•ta factures and/or diswih,i bid is subject to, Chan P.e.
MIS PROP05AL MAY 61? WITHDRAWN BY ST LUCIE ROOFING IF NOT Act" t W 30 6 YS. <�t
tutltorized Signature py�gtUSt�n Date Homeowner Signature. v Date / ` "
E E
)eposit Amount: Form of Deposit: Date: Employee initials:.