HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ I
Date: 4-18-2018 OG SCAMW Permit Number: �(Q' Is
( RECEIVED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3.
Phone: (772) 462-1553 Fax: (772)
PERMIT APPLICATION FOR:
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Building Permit Application APR 1::8 2018
ST. Lucie County, Permitting
78 Commercial Residential YES
PROPOSED IMPROVEMENT LOCATION:
Address: 7916 Saddlebrook Drive PortlSaint Lucie Florida 34953
Legal Description: SABAL
Property Tax ID #. 3321-502-0041-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
II- LOT 92 (1.76 AC) (OR 846-1601)
Right Side: Left Side:
Lot No.
Block No.
Replace roof with same roof Boral Tile attached with Toam and screw with underlayment 30# and TU-Plus
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit — check all apply:
F]HVAC Gas Tank ❑Gas'. Piping _Shutters ❑ Windows/Doors
Electric Plumbing Sprinklers Generator Roof 6�12 Roof pitch
Total Sq. Ft of Construction: 8500
Cost of Construction: $ 61,500.00
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Murray Levine
Name: Dee Keihn
Address:7916 Saddlebrook Drive
Company: PDK Roofing Inc
city" Port Saint Lucie State: FL
Address: 626 SW Everett Court
Zip Code: 34953 Fax:
City: Port Saint Lucie State: FL
Phone No. 561-676-3346
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION>.LIEN-LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Murray Levine
Name: Dee Keihn
Address: 7916 Saddlebrook Drive
Address:7916 Saddlebrook Drive Port Saint Lucie Florida 34953
City: Port Saint Lucie State:
City: Port Saint Lucie State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name: I
Name:
Address:626 SW Everett Court
Address:
City: I
City:
Zip: Phone:
Zip: Phone: i
i
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 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 posted o the jobsite
before the first inspection. frou Int,And to obtain financing, co &41t with lender ory fattorry�i before
commA ins work or-reco ding vdh Notice of Commencement. I � � I
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Signature of Owner/ bessee/Contractor as Agent for Owner
na a of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The fing instr t was acknowledge before me
thisday of 20 by
The f oing instr ment w s acknowledge before me
this day of 20 by
Name of person�making statement
:�
Name of per n making statement
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Id�lficatio
Type of Ide ification
,p
Produced F\I T ��C�� �1J
AA a OQ-
Produced
I .
(Signature of Notary Public- State of Florida)
(Signature of Notary Pub I .l_ tatelo of Florida
Commission No.
"°y', 1 A N S. NIELSEN
ommission No. °`% � P`y>�: iC4�al S
_ NIELSEIV
COmmis
+s Commission # FF 11637
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�( $;' , a`r My CO nmos # FF 715637
My Commission Expires
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REVIEWS
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PLANS
VEGETATION
SEA TURTLE
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MAN
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COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17