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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: LL �1L 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: PROPOSED IMPROVEMENT LOCATION: Address: L31) -�) PropertyTaxID#:_35" Site Plan Name: Project Name: Lot No. Block No. DETAILED DESCRIPTION OF WORK rwa f Sus->f,r,, c)LL,� � Q) I wu-_' cl (L-0a, 1 +3 C-,,,-) e ,tip-, C4 . � st_" hS) S_)0 i✓.I �_A S-6 C:r(- L"'i C4P—t ( -< 7"3 Co sfi L_7_-,e )'w(- 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 Electric _ Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ / L* q 9S cz�, Generator Sq. Ft. of First Floor: Windows/Doors Pond VRoof `4J i Pitch Utilities: _ Sewer _ Septic Building Height: I OWNER/LESSEE: CONTRACTOR: Name l�'1 I rt .. Name: Address: —7 a S Cvi St'JLui 61vd Company: City: - S>L l cr State: Zip Code: � ` Ci Vq Fax: Phone No. E- Address: �� 19 SW rg0Ce C'6 Al. Vol City: Zip Code: Phone No ( Cz f State: 3K9 WY Fax: "71A 3LJ y Ji g3 Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail P c Gt3 State or County License (p a value ar construction is Z5o0 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 pp 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, 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 your Notice of Commencement. ev 2 Signature of Contractor - or -Owner Builder as applicable STATE OF FLORIDA t �I � COUNTY OF Sworn to {or affirmed} and subscribed before me of ✓Physical Presence or Online Notarization ' this 3l of c��t+nt,l , 2Dcby 'day ` Name of person making statement. � Personally Known OR Produced Identification Type of Identification Procruce r (Signature of Notary Public -'State of Florida) CONS �State of Fior�da-Notary Pu!?IiC =� *= Cartmissian # GG 258328 Commission No. (seal)�c Ex Y pices i�1y (:b71.1i5Sipn lo, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ` i i www S#LucieRoofing.net 1919 SW South Macedo Blvd • Part St. Lucie, FL 34984 Office (772) 344-7193 - JeffH.SLR@Gmaii.com License #iCCC 1330816 Date: 2/1/2022 Owner -Name: M.J.T. Holdings Inc. Address: 4003 S. Indian River Dr_ Fart Pierce, FL 34962 Phone #: 772-370-6424 Email Address: jushphradleyca)comcast_net PROPOSAL CONTRACT SCOPE OF WORK: STLUCIE ROOFING HEREBYSUBMFTSTHE FOLLOWING, SPECIFICATIONS AND ESTIMATE: Complete removal of existing roofing materials down to plywood decking F4 Inspect plywood sheathing for nailing patterns and damages- Re -Nail to meet current focal building code Uf Replace up to 4 sheets of damaged plywood if necessary, Any additional sheets of plywood will be charged at $105.00 per sheet Replace damaged fascia as needed, additional charges per foot will apply (does not include prime or paint) All accessory meta Is to be 25GA Bid includes new pipe stacks and standard vents to existing locations as needed G1 Complete installation of peel and stick underlayment Reslsto CAS Installation of galvanized steel metal roof system26 Gauge 51f Crimp Profile ❑ Installation of Limited Lifetime Warranted —FL Building Code Approved -architectural shingle roof system (Color ❑ Installation of the roof system Manufacturer Profile Color 0 Flat roof to receive a single ply modified bitumen rubber roof system _ torch applied _ peel and stick 13 Bid includes off ridge vents (this excludes Standing Seam Metal Roof Systems) Ll Skylights/Sala-Tubes: ^ Replace existing with new — Close up (does not include any interior work) 2x2 2x4 Custom Other G All gutters will be 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) iZ Driveway Condition: _Excellent _Fair _Poor ✓Damaged/Has cracks E6 Bid includes taxes, permit fees (if applicable,) daily trash removal, durrip fees, labor and materials L7 REPAIRS ONLY: All repairs come with a year workmanship warranty at leak area only New roof carves with a 7 (seven) yearworkmanship warranty and manufacturer's warranty. THIS AGREEM EMT 15 SUBJECT -TO ALL APPLICABLE LAWS, REGULATIONS AND ORDINANCES, AND TO THE FOLLOWING TERMS AND CONDITIONS 1. We have the right to stop work, yAThout first giving notice to you if any payment tequested by this agreement is not paid by its due date. We are not required to start work again unfl the required payments have been made. you agree to pay all reasonable attarrey's fee and costs incurred by us if we have any attorney to enforce any part of this agreement_ Should we fide a mechanic's lien against the property, you agree to pay the costs of preparing, serving and riling the mechanic's lien, including reasonable attorney fees. If any payment required by this agreement is not received by its due date you agree to pay interest an the unpaid balance at the rate of 18%oervcar- z- we arc not responsible fordamages from fire_ windstorm, acts of God or other hazards that are normally covered by homeowners insurance. 3. Replacement of the deteriorated decking, roof iacks, ventilators, flashingar other materials, unless stated otherwise in this contract, are not included and additional charges will apply. (Labor rate 595.00 per hour) 4. We are not responsible for delays caused by(i) anything done or not done by rimeror anyone hired or employed by homeuwncr (il) unauthorized changes to the work (iii) any work delayed by homeowner for reasons othur than weather%acts of God or not authorized by contractor (tv) disputed labor (v)fine or other casualties (oil) delays in material debvery by suppliers S. During the period of the any warranty we are nut responsible for any damage below the roof due to leaks caused bywindJrain s torrrrs in excess of 55MPH winds 6. Flat Roofs:Contractoraccepnnoresponsibilitywhatsoeverforpondfngorstandingwater ]. St Lurie Roofing`s Warranty is not valid until contract price (including upgrades end change orders items) are paid in full R. Soffit repair or replacement is not included in this bid 9. Building material supply companies and SL Lucie Roofing are not nspcumible for damages to the drive way during delivery and ordamages beyond our control 14. FRnal payment is due prior to final inspection 11, issues regarding damage in the property in or around the construction area will he addressed on a case•by-case basis_ With substantial evidence, repairs to the damage c,,ip be considered by St. Lucie Roofing. This could require obtaining three quotes and the homeowner may be responsible for Yi the cost of the repair(s,) 12- ALL ROOF SURFACES WILL BE LEFT IN A WATER PROOF CONDITfON AT THE END OF EACH WORK ()AY 'a, Contract Cancellation - If this contract is nut retractedMthin five days from rpmipt of deposita S% cancellation fee WIE be deducted prior to an V refunds, 1.4. Any alteration or deviation from above spetiircations involving extra costs will be executed only upon written orders 15. This contract represents the entire ogre-etnettt afthe parties_ IL may not be amended ormadified, unless in writing and signed by the parties, In the event of any dispute between the parties relating to oratising outof this apreement,the parties shall submit to pre -suit mediatiur. in St Lucie County prior to filing suit Venue for any litigation refatcd to or arising out of the work performed shall lie so?ety in St Lucie County, The parties further waive trial byjury. In the event of any litigation related to or arising out of the work performed the prevailing party shall be entitled to an award of reasonable attorneys fees WE PROPOSE HEREBYTO FURNISH MATFRIALAND LABOR — COMPLETE IN ACCORDANCE WITH THE TERMS ABOVE FOR THE SUNS OF: $ Roof Replacement Payment Schedule — 405G Contract Signing -- - ----- 50% In pect � p Progress -- ------- -------1056Final ins to Ccm fetion Roof Repair Payment 5ehedule - 50% Contract Signing, !ounce on Ampletion We accept payments via check,cash, money order or credit cad 14-999brmditcard fee asaefioq Please Note: Due to sudden price increases from supply companies due to demand acts of Gad (ie. Hurricanes, Mods eY oy nufastu 5 aAijar distributors, bid is subject to change. THIS PROPOSAL MAY BE WM413RAWN By Sf LUCIE ROOFING IF NOT AM tr I A S- Authorized Signature JPffIPrf HaMilsnn Date21117022 Homeowner Signature Date Deposit Amount (#i Form of Deposit: l� r Date;Errl 1 l _ ;' _ ployeeinitials