HomeMy WebLinkAboutBuilding permit app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
FLUG"
Building Permit Application
Planning and Development Se ices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
CBDG Funding
PERMIT APPLICATION FOR: lr (; � AU"
PROPOSED IMPROVEMENT LOCATION:
Address: olos SebC(-S-±o4Pe-c$ 3Y551
Property Tax ID #: 13u1 +.0) qJ 003- lc)u�a3 Lot No.
Site Plan Name: Block No. E ILP )
Project Name:
DETAILED DESCRIPTI N OF WORK:
M . 7:TrS 9,0 _t vJ S+GIB -/p C.,:de , -;�5tczu )6,, 614
5 ✓ , C4 r S 5 Aryl -�b �Ad
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFO MATION:
i
Additional work to be performed under this permit- check all that apply:
_Mechanical Ga Tank _ Gas Piping Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator ✓ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1 9 J''� v - 6i� utilities: —Sewer _Septic
Building Height: --
OWNER/LESSEE:
-
CONTRACTOR:
Name +oe u
Address: t3 j h
City:
Zip Code: 5L19S jFax:
Phone No. 77.) D(a -
Mail: �e u)4Z- 1 Q ro, U I
Fill in fee simple Title Holder
the Owner listed above)
w -1
Name: .ful i--ogIY�I�SWI -
��
Company: �} � t t UC i�t�JD'r
State:
Address: 019 S So ` (k vVC1
City: &�# R TUC, State: �I
Zip Code: 3Y i Ttl Fax:
Phone No `old 3141_1/93
0-7 9 E-
on next page (if different
E-Mail -J�hk SL �) � to("from
State or County License C cr- / 33n `gI [o
If 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 CON
,
TRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: _
Address:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 repre entation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applica le Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with y ur Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting f this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approve 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: Yo
improvements to your
Lucie County and post(
with lender or an attar
failure to Record a Notice of Commencement may result in paying twice for
-operty. A Notice of Commencement must be recorded in the public records of St.
on the jobsite before the first inspection. if you intend to obtain financing, consult
-v before commencine work or recordine vour Notice of Commencement.
Builder as applicable
Signature of Contractor - or - Owner
STATE OF FLORIDA CA
/ I
COUNTY OF
( u ._.
Sworn to (or affirmed) and subscribed
before me of �ysical Presence or Online Notarization
this i cQ day of
, 20ca by
e
n&n
Name of person makingZtt
nt.Personally
Known
Produced Identification
Type of Identification Produce
rn NST.ANCE PflOULX
(Signature of Notary Public -!Slate
of Florida)
`6L t", Stste of Florida-1101 a y My —
kyonsmission # GG 258328
Commission No.
(seal)
"� �11y Comtnsssion Expires
: ;,;;,��`� Sapternber 16, 2022
REVIEWS
FRONT
ZONING
SUPERVI5OR
PLANS
VEGETATION
SEA TURTLE
MANGROVL
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21
Sf. MCI*
www.StLucie oofing.net
1919 SW South Macedo Blvd • Port St_ Lucie, FL 34984
Office (772) 344-7193 effH.SLR@Gmail.com
License #CCC 1330816
'COPE OF WORK: ST LUCIE ROOFING HI
bid
Complete removal of existing
if
Inspect plywood sheathing fo
2f
Replace up to 4 sheets of darn
54
Replace damaged fascia as ne
9
All accessory metals to be 26C
td
Bid includes new pipe stacks i
bd
Complete installation of peel;
❑
Installation of galvanized stee
Cf
Installation of Limited Lifetime
❑
Installation of tile roof system
❑
Flat roof to receive a single pl)
if
Bid includes 2 off I
❑
Skylights/Sala-Tubes: _Repli
Date: 217122
Owner Name: Eddie Pultz
Address: 6905 Sebastian RD
Ft Pierce FL 34951
Phone #: 772-626-0678
Email Address:
PROPOSAL CONTRACT
1EBYSUBMITS THE FOLLOWING SPECIFICATIONS AND ESTIMATE:
oofing materials down to plywood decking
nailing patterns and damages. Re -Nail to meet current local building code
aged plywood if necessary; Any additional sheets of plywood will be charged at $105.00 per sheet
ded, additional charges per foot will apply (does not include prime or paint)
nd standard vents to existing locations as needed
Ind stick underlayment Resisto peel and stick underlayment
metal roof system Gauge Profile
Warranted —FL Building Code Approved -architectural shingle roof system (Color }
Manufacturer Profile Color
modified bitumen rubber roof system _ torch applied _ peel and stick
idge vents (this excludes Standing Seam Metal Roof Systems)
ce exist!ngwith new _ Close up (does not include any interior work)
2x2 2x4 Custom Other
❑ ' All gutters will be removed an disposed during tear off of at no charge unless homeowner has them removed by a professional gutter company F
to work commencing and at the homeowner expense.
Cable/Network Antennas: _ s or _No -------- ----_ Active _Not Active _None
❑ Solar panels _ Remove and dispose _Must be removed prior to tear off (any cost related will be the responsibility of the homeowner)
Driveway Condition: JExcelle t _ Fair _Poor _✓Damaged/Has cracks
Bid includes taxes, permit fees (if applicable,) daily trash removal, dump fees, labor and materials
❑ REPAIRS ONLY: All repairs com with a yearworkmanship warranty at leak area only
New roof con
THIS AGREEMENT IS SUBJECTTf
1.
We have the right to stop work, wrthout
payments have been made. You agree to
against the property, you agree to paytl
its due date you agree to pay interest or
2.
We are riot responsible for damages frog
3.
Replacementofthe deterierateddeckin
$95.00 per hour]
4.
We are not responsible for delays cause
homeownerfor reasons other than weal
5.
During the period of the any warranty wi
B.
Fiat Roofs: Contractor accepts no respor
7.
St Lucie Roofing's Warranty is not valid u
8.
Soffit repair or replacement is not includ
9.
Building material supplyrompanies and'.
10.
Final payment is due priorto final inspec
11.
Issues regarding damage to the property
Lucie Roofing. This could require obtainir
1Z.
ALL ROOF SURFACES WILL BE LEFT IN A V
13.
Contract Cancellatlon — If this contract is
14.
Any alteration or deviation from above a
is.
This contract represents the entire agree
to or arising out of this agreement, the pi
solely in St Lucie County. The parties furt'
reasonable attomey'5 fees
NE PROPOSE HEREBYTO FURNISH MAT[
Roof Replacement Payment c
Please Note., Due to sudden price
luthorized Signature
)eposit Amount:.�t'j,
t—
es with a 7 (seven) yearworkmanship warranty and manufacturer's warranty
I ALL APPLICABLE LAWS, REGULATIONS AND ORDINANCES, AND TO THE FOLLOWING TERMS AND CONDITIONS
first giving notice to you If any payment requested by this agreement is not paid by its due date. We are not requited to start work again until the requ
pay all reasonable attorney's fee and costs in curred by us if we have any attorney to enforce any pad of this agreement. 5houid we file a mechanic's lit
e costs of preparing, sewing and filing the mechanic's lien, including reasonable attorney fees. if any payment required by this agreement is not recelvi
the unpaid balance at the rate of 18%per year.
i fire, w#ndstorm, acts of Gad or other hazards that are normally covered by home uwner's insurance.
roof jacks, ventilators, flashing or other materials, unless stated otherwise in this contract, are not included and additional charges will apply. (Gabor r
by (I anyth ing done arnot done by owne r or anyone hired or employed by homeowner(R) unauthorized changes to the work Iiii) any work delayed bt
er/acts of God or not authorized by contractor (iv) disputed labor (vl fire or other casualties (vii) delays in material delivery by suppliers
are not responsible for anydamage below the roof due to leaks caused by wind/rain storms in excess of 55MPH winds
ibility whatsoever for ponding or standing water
til contract price (including upgrades and change orders items) are paid in full
d m this bid
:_ Lucie Roofingare not responsible for damages to the drive way during deliveryand or damages beyond ourcontrol
i or around the construction area will be addressed on a case -by -case basis. With substantial evidence, repairs to the damage will he considered by St
; three quotes and the homeowner may be responsible for %the`cost of the repairs.)
%TER PROOF CONDITION AT THE END OF EACH WORK DAY
of retracted within five days from receipt of depasit a S%cancellation fee will be deducted priorto any refunds.
ecifications involvingextra costs will he executed only upon written orders
lent 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 re
ties shall submit to pre -suit mediation in 5t Lucie County priorto filing suit. Venue for any fftigation related to or arising out of the work performed sh
°r waive trial by jury. 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
UALAND LABOR —COMPLETE IN ACCORDANCE WITH THE TERMS ABOVE FOR THE SUM OF: $ �--10
:hedule — 40% Contract Signing - --- ----- -- 50/a In Progress --------------- 10% Final inspection/Completion
oof Repair Payment Schedule -- 50% Contract Signing, balance on completion,
a accept payments via check, cash, money order or credit card 14.99% credit card fee per transaction)
from supply companies due to demand/acts of God lie. Hurricanes, floods etc.) by manufactures and/or distributors, bid is subject to change.
THIS PROPOSAL MAY BE WITHDRAWN BY ST LUCIE ROOFING IF NOT ACCEP IN 30 DAY5. r�
Date Tj Homeowner Signature _ _ DateJIL!r
rm of Deposit: �`Nrx ` G1 g . _.. Date: ` Employee Initials;