HomeMy WebLinkAboutBUILDING PERMIT APPLICATION--*
., ,
ALL APPLICA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
.. .- i
��..•�- ;yam-0•e
CO.OU RITYS.-R- s tiK ,,•
Building Permit Applicati n
Planning and Development Services FEB 2 7 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Re3tdq[xj0pMM6ntXr FL
PERMIT APPLICATION FOR: Roof
PR.OPOSER]MPROUEMENT,LOCf1TaON:.,,;, x;:"+. :«,g �•"
Address: 8407 Winter Garden PKWY Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 5- BLK 54 LOT30 (MAP 13/02S) (OR 4129-198)
Property Tax ID #: 1301-605-0352-000-6
Site Plan Name: Laura Brandefine
Project Name: Laura Brandefine reroof
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK . -
Remove and replace existing roof TbuY (l MIL/ d exls h Qy ri �Q � GLCawl�j w�
Wle_'t-Av
❑HVAC �Gas Tank ❑Gas Piping UShutters
❑Electric OPlumbing ❑Sprinklers 0Generator
Total Sq. Ft of Construction: Q r)� S Ft. of First Floor: _
Cost of Construction: $� r A�� . C 1� Utilities:li Sewer ❑ Septic
W' dows/Doo�rs Roof I � / goof pitch
Building Height: 15
• ER'/CESSEL
GONTR`ACTOR.
1
Name Z_n (Ay/'0 13 fi'Am d lIE P 14 D
Name: Bryon Keith McStoots
Address: 1?QQy_ i.2!n`yy- 9r 4,ky\ 9"
Company: PetersenDean Roofing& Solar
City: State: rL
Zip Coder: S 19 S l Fax:
Phone N0."Dl"L1 wk s`- '3S3 C7
Address: 1011 Fairrield Drive
City: West Palm Beach State: FL
Zip Code: 33407 Fax: 561-881-0699
Phone No. 561-881-0660
E-Mail: Q(r,k% X l yMYA —3 V 'AW0,(O I(I
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: klsmith@petersendean.com
State or County License: CCC1329081
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.�v
1?ELMIUTAtCC1N5TR11CTI14.1 PINV LIEN LAINFORlf1T�OIVMaq£
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _
Name:
Not Applicable
Address:
Address:
City: _ _ _
Zip: Phone
State:
City: -
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not
Name:
Applicable
Address: 1011 Fairfield Drive
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con Pct 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, 1 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 on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement. � S
�
o0
� � N
ignature o Owriee%Lessee/,Contrac;or-as"Wgen - ne
—
fC Signa ure tractor �i er Hel
a z 4
zoa
STATE OF FLORID
&W4/
STATE OF FLORIW
COUNTY OF /�i3tm
COUNTY OF
O X
owl
The forgoing instrume as acknowledged efore me
The forgoing instrumen was acknowledged before me
}
thisort day of ,20_tf by
thisd±/ day of 4 _"uy
o•"'1'�6;a
Name of perkon making statement
Name of person aking statement
"'••^`
Personally Known OR Produced Identification
Personally Known ,' OR Produced Identification
Type of Ider� ificatif9
T pe of Identification
Produced Unit/—"
4yAGNERcommisslo
oducedBETH
M__
Ja G081027
EXPIRES:.April 13, 2021
. cd 08
mmNota� Public underwrite"°
--'!13,202
(Signature of Notary
ignature of Notary Public-S tq of.Flori a . ..
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED--
DATE
COMPLETED
l
Rev.8/2/17