HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR
Date. 4-19-2018
st
Building
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
TO BE ACCEPTED t�L04-os
PermitNumber: `
FAPR
EIVED ..._.__
Permit Application18 2018nty, Permittirno
_
Commercial Residential yes
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 1603 North 33rd Street Fort Pierce/Florida 34947
Legal Description: SUNLAND GARDENS BLK 20 LOTS 1 AND 2 (0.36 AC) (OR 3883-1173; 3935-2434)
Property Tax ID #: 2405-601-0363-0
Site Plan Name:
Project Name:
Setbacks Front Back:
i
Right Side: Left Side:
DETAILED DESCRIPTION OF,1WORK;.
Roof reolacement aoina from a shinales roof to a 5-v metal roof
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Adclitional work to fl
orme under this permit —check a apply:
0HVAC GasTank Gas Piping _ Shutters a Windows/Doors
Electric 0' lumbing Sprinklers E] Generator g Roof 5�12 Roof pitch
Total Sq. Ft of Construction: 3354 S . Ft. of First Floor:
Cost of Construction: $ 17,000.00 Utilities:llSewer Septic Building Height:
O.W N ER/LESSEE',
CONTRACTOR:
Name Antoinett Josue
Name: Dee Keihn
Address: 1603 North 33rd Street
Company: PDK Roofing Inc
City: Fort Pierce State: FL
Address: 626 SW Everett Court
Zip Code: 349417 Fax:
City: Port Saint Lucie State: FL
Phone No. 772-519-8947
Zip Code: 34953 Fax:
E-Mail:
Phone No. 772-528-0113
Fill in fee simple Title Holder on next page ( if different
E-Mail: PDKRoofing.inc@gmail.com
from the Owner listed above)
State or County License: ccc1331408
n "Ma ul/GunStruuion ni ;pz2uu or more, a KMUKUCU ivotice OT Gornmencement is required.
A
INEER: xx Not Applicable
Name' AntoinettJosue
Address:1603 North 33rd Street Fort Pierce Florida 34947
City: Fort Pierce State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Dee Keihn
Address: 1603 North 33rd Street
City PortSaint Lucie State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
13011
Name:
Nam
Address: 626 SW Everett Court
Addl
City:
City:
Zip: Phone:
Zip:.
COMPANY: Not Applicable
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�1 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and postAd on the jobsite
before the first inspection. If you intend to obtain financing, colt v ith lender gran a�Prney before
commaminR work or rec6rdin�Gour Notice of Commencement. i 1 � / /
I
Signature of Ownirt Lessee/Contractor as Agent for Owner
igna o Contrl r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
L
COUNTY OF �,(�. r1F_
COUNTY 01_
The f ing instr e_nt was acknowledge efore me
day 20 by
The forgoing instru I ent was cknowledge efore me
this Az day of 2016 by
this of
�E. LK - It�
Name of ers a ing statement
Name of perso makkiingg statement
Personally Known OR Produced Identification -Personally
Know o uced Identification
T e of ldenti t ;,,,
Type
F �QYa�% I<AREN S. —NI
'.� A;'-;
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Type of Identific,R °�a -,; I�Al2FN
= S. NIELSE
Produced = := com N
Produced I _* FF 115637
My commission Expires
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„ i a . M 1 15637
y �Ommissior
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June 12, 2018—
„Fof,tp°,
T JU 1 Expires
a 12 2018
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
Commission No. (Seal)
I
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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RECEIVED
DATE
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COMPLETED
Rev. 8/2/17