HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /r�`�1 22,��
Date: 3— SCANNED Permit Number:po - , �,/3
BY
• St. Lucie County RECEIVED
Building Permit Application MAY 13 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: _
Address: 104 Riverview Drive, Jensen Beach, FL, USA
Legal Description: TOP OF WALTON W 41.33 FT OF LOT 9 AND ALL LOT 10 (OR 879-2073)
Property Tax ID #: 4504-601-0009-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Ronald & Cathy Peters
Setbacks Front Back: Right Side: Left Side:
`DETAILED DESCRIPTION OF WORK:
Remove existing roof and replace it with a New 5v Metal Roof
a
CONSTRUCTION INFORMATION:
Aciclitional work to be nertormed under tispermit—check all apply:
OHVAC Gas Tank Gas Piping _Shutters ❑ Windows/Doors
Electric OPlumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 20Sgs 5 Ft. of First Floor:
Cost of Construction:$ 12,100.00 Utilities: �Sewer ElSeptic Building Height: 20Ft
OWNER/LESSEE:
CONTRACTOR:
Name I Peters
Name: Dee Keihn
Address:104 Riverview DR
Company: PDKRoofing.lnc
City: Jensen Beach State: FL
Address: 1299 SW Biltmore Street
City: Port Saint Lucie State: FL
Zip Code: 34957 Fax:
Phone No.(772)528-0113
Zip Code: 34983 Fax:
E-Mail: PdkRoofing.lnc@gmail.com
Phone No. (772)528-0113
Fill in fee simple Title Holder on next page (if different
E-Mail: PdkRoofing.lnc@gmail.com
State or County License: CCC1331408
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. -
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
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 priorto 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 m t be recorded and post d on the jobsite
befor&�tthe first inspection. If yppu intend to obtain financing, c sul with lender n orn y before
comtnerlcine work or raemrdirfe vdur Notice of Commencem ,�
Signature of Owner/ Lessee/Contractor a-sAtent for Owner
ignatu ontractor icense Hol er
STATE OF FLORIDA
STATE OF FLORIDA
'e
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 13 day of NI 4� 20 1 Cf by
this /3 day of ivies Y
201 `r by
Name of person making statement
Name of person making statement
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur of Notary Pu
ic- rate of F
(Signature of N ary Pu
'
Commission No.
�, AL�II�IbflIGUQJR.
rho MYCOM 24,202 319
IXPIfl
Commission Na.
ALVINRODflIGUQJR.
WCOM 51M �'JR.
.RPH#G2023
Bonded through let State Insurance
WIRES: APR 24. 2023
"�
®
Bonded through let State Inlhretlte
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17