HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q a� Permit Number:
FEB 26 N19
Building Permit Application permit
Planning and Development Services ST. Lucie County,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 �l
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof _ qr. ANNFn III
PROPOSED IMPROVEMENT LOCATION
Address:
7144 Hawks View Trail, Port Saint Lucie, Florida 34986 31. nuie County
Legal Description: HAWK'S VIEW AT THE RESERVE LOT 5 (OR 2265-973)
Property Tax ID #: 3322-615-0011-000-6
Site Plan Name:
Project Name: Frederick T Crewse
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAIL-EDJDESGRIRTION •OF'WORK
Remove and Replace Roof I L S a� 1` 7
_ �4 N J i h J Pa en C� i V d f,Qy w,_4k�
CONSTRUCTiON'JNFORMATION :
AdAffinnal work to be prformed unclertnispermit—check all apply:
�HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
Electric ElPlumbing []Sprinklers Generator Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 39Sgs S Ft of of First Floor:
Cost of Construction: $ 26,200.00 Utilities: —Sewer Septic Building Height: 20FT
OWNER'/,LESSEE:
CONTRACTOR:
Name Frederick Crewse
Name: Dee Keihn
Address:7144 Hawks View Tit
Company: PDK Roofing.lnc
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No.(330)806-0786
Address: 1299 Sw Biltmore Street
City: Port Saint Lucie State. FL
Zip Code: 34983 Fax:
Phone No. (772)528-0113
E-Mail: Ftcrewse@yahoo:com
Fill in fee simple Title Holder on next page,(if different
from the Owner listed above)
E-Mail: PdkRoofing.ino@gmail.com
State or County License: CCC1331408
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is requirea.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
city.. State:
City: State:,
_
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 Count� 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 1 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 on the jobsite
before the first inspectio If ou intend to obtain financing, consu ith lender or an a mey before
comme I work r oryour Notice of Conmencement.
Ld-
Wattiri-of Owssee/Contractor as Agent for Owner Si atu ContnctP/License Holder
STATE OF FLORIDA STATE OFF RIA
COUNTYOF Sk. �.��yk COUNTYOF 3�.
The forrggoing instrume t was acknowledged before me The fo oing instrum nt was acknowledged before me
this�dayof fW 20JJ by thisa. day of 'Frr 20_A by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced t- 1� L Produced F L �L
T .
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(Signature of Notary PdQIIo SeGMFNs (Signature of Notary a office �EG Z3
DEMMMARN
:Commission No. - --MY i QMW20=:---EommissioniNoc w
w � 9anded'ItwN�Y�cUnderMireis - - rtdeN<;itars---
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW- REVIEW REVIEW REVIEW
DATE --
RECEIVED
DATE
COMPLETED
Rev.8/2/17