HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7-1-2016
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of dine
PROPOSED IMPROVEMENT LOCATION:
Address: 6206 Emerson Ave. Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 8-A- BLK 5 LOT 11 (MAP 13/02S) (OR 1305-2199)
Property Tax ]D#: 1301-609-0055-000-6
Site Plan Name:
Project Name. Bruneau
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Tear off shingle roof replace with shingle roof
Roof is 3640 square ft on a 5/12 roof pitch.
Owens corning shingles PL10674-R11
Lot No.
Block No.
Additional work to bepej rtormed under this permit — check all apply:
HVAC L_I Gas TankE]Gas Piping _ Shutters Windows/Doors
I 1 Electric ❑ Plumbing Sprinklers LJ Generator W1 Roof
Total Sq. Ft of Construction: 950 S Ft. of First Floor:
Cost of Construction: $ 10600.00 Utilities:LSewer []Septic Building Height: 24'
OWNER/LESSEE:
CONTRACTOR:
Name Katherine Bruneau
Name: Richard A. Newland
Address: 6206 Emerson Ave.
Company: Richie the Roofer
City: Fort Pierce, State: FL
Zip Code: 34951 Fax:
Phone No. 772-464-4113
Address: 6704 Santa Clara Blvd
City: Fort Pierce State: FL
Zip Code: 34951 Fax: 866-610-8652
Phone No. 772-464-4329
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: richieroofer@yahoo.com
State or County License: 20506
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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 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 your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF 6 ( %i t r --r
The forgoing instrument was acknowledged before me
this day of t,rry G -r 20 ''L by
(Name of person acknowledging )
s
Sigfi—ature of Contractor/License Halder
STATE OF FLORIDA
COUNTY OF :5-r- C c i4
The forgoing instrument was acknowledged before me
this (CL day of .7 ell -e,1 <. 20 /( by
(Name of person acknowledging)
fl
(Signature of Notar Public- State of Florida) (Signature of Nota Public- State of Florida }
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
Personally Known OR Produced Identification
Type of Identification Produced
(SAI$Py80BUN Commission No.
MY GQMMMSSiON #EE883700
a- FIRES: MAR 13, 2417
arded rna h 1st Stale lasurance
�rrt' r!- BOBILN.
MY GOMIA46610N #FF1
90„ded a� 01,0 ; st StLte !ns
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
J
Lt ° 3D
4p
L .
�' 6704 Santa Clara
*Blvd.
F t. Pierce, Fl. 34951
Lic. CCC 058021
Name I Address
Katherine Bruneau
6206 Emerson ave.
Ft. Pierce Fl. 34951
Phone # 772-464-4329
Fax # 866-610-8652
E-mail
richieroofer@yahoo. com
Estimate
Date Estimate #
8/11/2016 1697
Description
Total ?"
Price to install shingle roof to florida building code will be
10,440.00
Tear roof to deck an nail 8d ringshank
Install a 30 # felt pa er
Install new metal edg o FBC
Install new 30 year Dimensional shingle with a 5 year workmanship warrantee
Install all pipe flashings and goosenecks
Removal of all debris and run nail magnet when complete
Price for new plywood per 4x8 sheet 55.00 per sheet
0.00
Chimney seal and reflash
160.00
We Propose hereby to furnish material and labor -complete in accordance with the above specifications,
0.00
for the sum of:
Payment to be as follows: We shall have a 50% deposit once permit is obtained and work is started.
Draws as job progresses.
All workers are covered by workers comp and general liability. All material is guaranteed to be as
specified. A]I work to be completed in a workmanlike manner according to standard practices. Any
alteration or deviation from above specifications involving extra costs will be executed only upon written
orders and will become an extra charge over and above the estimate. All agreements contingent upon
strikes, accidents or delays beyond our control. Owner to carry tornado, fire and other necessary
insurance. Richie The Roofer will not be responsible for damage caused by vehicles on this property,
including but not limited to driveways, walkways, gutters, grass, curbs and sidewalks.
Acceptance of Proposal- The above prices, specifications and conditions are satisfactory and are hereby
accepted and authorization is given to do the work as specified above_ Payments are to be made as
specified above. ESTIMATES ARE GOOD FOR 30 DAYS NO EXCEPTIONS This document will be a
binding contract once signed.
/ /
Date accepted .5 r l (r 2016
G
Rich Katherine Bruneau
Total >>> $10,600.00
WWW.RICHIETHEROOFER.COM