HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9 9 JCV Permit Number: l"t— C) 69k
• RECEIVED
• Building Permit Application NOV 3 o 1018
Planning and Development Services
Building and Code Regulation Division permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982
St. ►.ucle County
Phone: L (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof SCANNED
PiROPOSED IMPROVEMENT LOCATION:
Address: 586 Beach Ave Port Saint Lucie Florida
Legal Descrip ion: RIVER PARK -UNIT 2- BLK 19 LOT 3 (MAP 34/22N)
Property Tax �D #: 3419-510-0234-000-0
Site Plan Name:.
Project.NamI: 586 Beach Ave Port Saint Lucie Florida
Setbacks Font ' Back: Right Side: Left Side:
'DETAILED .DESCRIPTION OF WORK: n
Remove ex sting roof system,, and replace with a new 5-V Metal Roof
UDL�p2-):
SV M�1-0-1 s 17ML• 1
CONSTRUCTION INFORMATION:
Additional orme under this permit — check h Aa apply:
wor to e e
C�HVAC Gas Tank E]Gas Piping _Shutters
IJElectric 0 Plumbing Sprinklers Generator
Total Sq. Ft of Construction: 2400
Cost of Construction; $ 13780
S Ft. of First Floor:
utilities:0Sewer 11 Septic
Lot No. 3
Block No. 19
QWindows/Doors
ZRoof 3�12 Roof pitch
Building Height:
OWNER/LESSEE:
Gregory Blomberg.,
CONTRACTOR;: PDKRoofing inc
'Name Gregory
Blomberg
Name: Dee Keihn
Company: PDKRoofing.inc .
Address: 586IBeach
Ave
City: Port Saint Lucie State: FL
Address: 1299 Sw Biltmore•St
Zip Code: 34952 Fax:
City: Port Saint Lucie State: FL
Phone No. 04-614-1664
Zip Code: 34087 Fax: .
E-Mail: Gregblmbrg@yahoo.com
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: OCC1331408
If value of construction is 52500 or more, a RECORDED Notice of Commencement is requires.. .
SUPPLE
DESIGNE
Name:_
Address:
City:
Zip:
FEE SIMI
Name:_
Address:
City:
Zip:
'.NTAL CONSTRUCTION LIEN, LAW INFORMATION:
:NGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
State: City: State: _
Phone Zip: Phone:
TITLE HOLDER: _ Not Applicable
Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that rio 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 iwith 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 on the jobsite
before the first inspection,Lf you intend to obtain financing, consult with lender or an attorney before
rnmmartKna 1nmrL- nr rar rriit;t?% niir IVntira of rnmmanraman&'1 /` A
ta-
na ure of'Owne4 Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO�,JpA
STATE OF FLO A
COUNTY OF!
COUNTY OF��
The forgoing instrument was acknowledg d before me
this day ofO , 20 by
The or oing instrument was acknowled before me
this day of 20 by
V-)
1 Yl
Name of per making statement
Name of perspn making statement
\'
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
'
P�uuuy. ELIZABETH OLIVO
I
A e �, .,.v P , , ..
ELIZABETH OLIVO
,•10� �e .. _ f
«
(Signature of Notary Publi -
_•.
- tary Public ace
_ �y
o•c commission # FF 92471
ig�r�ature of Notary Publi - S g f C ) commission # FF 924
'�� N` �o� M Comm. Expires Oct 5
(`(�
Commission No.T 1'
r °o;: omm. Expires Oct 5,
°r OFF�OP(S��
National NotarI�
�
2019 / �•,I� g
mission No.�� dthrou hNationalNote
Bon ed through
REVIEWS
I
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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