HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED
Date: � SCA
St Lucie
Buildi
APPLICATION TO BE ACCEPTED
ED Permit Number:
anty RECEIVED
Permit Applicati n MAY 0 3 2018
Planning and Development Services
ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes
PERMIT APPLICATION FOR: To Select fr m dropbox, click arrow at the end of line evuf
PROPOSED IMPROVEMENT LOCATION:
Address: 28 Flamenco Way Port Saint Lucie Flor'Ida 34952
Legal Description: Spanish Lakes ST Lucie Gard�ns LOT 28
Property Tax ID #: 34145011701-0009 I Lot No. 28
Site Plan Name: I Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace shingle roof with metal roof h pr 1
M6b, I e. �\o VV%V,)
CONSTRUCTION INFORMATION:
ACIClitional work to be nerformed under this permit'' check
all
that apply.
0HVAC
LJ
Gas Tank
❑Gas Pi p'ng
_Shutters
Windows/Doors
11 Electric 0 Plumbing
[]Sprinklers
Generator
Roof F4/_12__1 Roof pitch
Total Sq. Ft of Construction: 1524
S . Ft. of First Floor:
Cost of Construction: $ $7000.00
tilities:Sewer Septic
Building Height:
.OWNERAESSEE: �.,
CONTRACTOR:
Name Rosalind Gitilin
Name: Dee Keihn
Address:28 Flamenco Way
Company: PDK Roofing Inc
City: Port Saint Lucie State: FL
Address: 626 SW Everett Court
Zip Code: 34952 Fax:
City: Port Saint Lucie State: FL
Phone No.
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) I
State or County License: ccc 1331408
If value of construction is $2500 or more, a RECORDED Notic,e_of Commencement is required.
SU1RPLEIVIENTAL�CONSTRUCTION:LIE
LAVIj I`NFORMATION.
DESIGNER/ENGINEER: _ Not Applcable
i
MORTGAGE COMPANY: _ Not Applicable
Name: Rosalind Gitilin
Name: Dee Keihn
Address:28 Flamenco Way Port Saint Lucie Florida 34952
Address: 28 Flamenco Way
City: Port Saint Lucie State:
City: Port Saint Lucie State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Appl
cable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 626 SW Everett Court
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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, ssociatlon 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.
Inconsideration of the granting of this requested permlit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Bull lding 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 Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectW. If you intend to ob�ain financing, consult with lender gr an arrney before
comnWAinR wor*or ecordinjrvour Notice of Commencement,\ / �
of Ou,00/ Lessee/Contractor as Agent for Owner I Signature of
STATE OF FLORIDA
COUNTY OF '- 1--0
The forgoing instrument was acknowledge before
this � day of W\ay 20A by
Name of person making statement
Personally Known OR Produced Id(
Type of Identification
Produced q \- b t—
(Signature of Nota P bb" oRrt1Rtt K GG07a
wY DU „4. MISS ON
COM t �6,2
Commission No.�(p1RE(G�mby o a
to pubiir,U;,
. ded'Ihrul4o REVIEWS FRONT ZONING SUPE
COUNTER REVIEW RE%
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Holder
'STATE OF FLORIDA
COUNTY OF 'SA- • L— 3 49,
The forgoing instrument was acknowledged before me
this � day of TrN a�� , 20 by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced 9-L. AD t--
(Signature ofRo�r., ic- Statellt+(&iv'y'
�� MY COMfl IISSION #,, 022U23 ;
?�(�, PIRES: Deremb 16, 202U f
Commission '�,n PUb,,S�,ai�vriiat t
:Yj OFF4°p, Bone Notary _^•�,
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW I REVIEW REVIEW