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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11-10-2016 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 line PROPOSED IMPROVEMENT LOCATION: Address: 7502 SANTA ROSA PKWY Legal Description: LAKEWOOD PARK -UNIT 4 BLK 39 LOT8 (MAP 13/11 N) (OR 1218-1694; 3924-2387) Property Tax ID #: 1301-602-0146-000-0 Site Pian Name: Project Name: Pricop Setbacks Front Back: Right Side: _ Left Side: DETAILED DESCRIPTION OF WORK: Tear off shingle roof replace with shingle roof Roof is3200square ft on a 4/12 roof pitch. Owens corning shingles FL1 0674-R11 Peel and stick underlayment Haanionai worK to oe errormea ❑HVAC _ Gas Tank unser tnis permit— check all DGas Piping Name. Richard A. Newland apply: Shutters Company: Richie the Roofer City: Fort Pierce, State: FL Zip Code: 34951 Fax: Phone No. L4 &!5 525 7 Address: 6704 Santa Clara Blvd City: Pori Pierce State: FL Zip Code: 34951 Fax: 866-610-8652 Phone No. 772-464-4329 _ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: richieroofer@yahoo.com 11 Electric Plumbing Sprinklers E] Generator Total Sq. Ft of Construction: 3200 Cost of Construction: $ ge) � t6 SIFt.. of First Floor. _ Utilities: Sewer O Septic Lot No. Block No. 0 Windows/Doors W1Roof Building Height: 18 OWNER/LESSEE: CONTRACTOR: Name Bill it & Barbarah Padrick Name. Richard A. Newland Address: 7502 Santa Rosa Pkwy. Company: Richie the Roofer City: Fort Pierce, State: FL Zip Code: 34951 Fax: Phone No. L4 &!5 525 7 Address: 6704 Santa Clara Blvd City: Pori 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 it value OT construction is �Z5u0 or more, a RECORDED Notice oT Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: Address: 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 thepermit 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. of Owner/ Lessee/Agent STATE OF FLORI A COUNTY OF %Zt p, is The for oing instrument was acknowledged before me this �day of &_)00 , 20 K by (Name of person a& nowledging } !/ ure of Not Public- State of Florida } ersonally wn OR Produced Identification pe. tification Produce Commission No. Revised 07/15/2014 (S QMiSSION #EF883700 �i S: MAR 13, 2017 8arded :;sough 1 st Stale Insurance Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF S/ Z_t rf` The forgoing instrument was acknowledged before me this /ft day of AJCJ t/ 20 by (Name of person acknowledging } (Signat re of N Pu lic-State of Florida } R ced Ide"*948 S L, _ 8�i Type of Identification Produ� NIY�[?Mnrtuss�n.eQ���„ r EXPIRES: MAR 13, 2017 Commission No. B1)F;de1; h)1stStatelnsuramce REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AFTER RECORDING -RETURN TO: JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT SAINT LUCIE COUNTY FILE # 4248117 11114/2016 01:49:46 PM OR BOOK 3932 PAGE 616 - 616 Doc Type: NC RECORDING_ $10.00 PERAAMT NUMBER: NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 1301-604-0212-000-0 SUBDIVISION BLOCK TRACT LOT BLDG UNIT LAKEWOOD PARK -UNIT 4- BLK 39 LOT8 (MAP 13/11 N) (OR 1218-1694; 3924-2387) 2. GENERAL DESCRIPTION OF IMPROVEMENT: Reroof 3. OWNER INFORMATION: a. Name Billy E Padrick Jr Barbarah Padrick b. Address Billy E Padrick Jr 7502 Santa Rosa PKWY Fort Pierce, FL 34951-2704 c. interest in property owner d. Name and address of fee simple titleholder (if other than CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Richie the Roofer 6704 Santa Clara 8tvd Ft Pierce Fl. 34951 - 77_2-_�73 G/ / 97 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713-13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) oec 25 , 2015 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE. NOTICE OF COMMENCEMENT Signature of Owner or Print Name and Provide Signatory's Title/Office Owner's Authorized Officer/Director/Partner/Manager State of Florida County of St Lucie The foregoin instrument was a owledged before me this day of� U 20' By i�ra -e . _ R r (� as owner (Warne of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact) For self (Name of party on behalf of whom instrument was executed) Personally Known x or produced the following type of ID; FL (Printed Name of Notary Public) (Signature Notary4 lic) Under penalties of penury, I declare that 1 have read the foregoing and that the facts in it are true to the best of myt�iov belief (section 92.525, Florida Statutes). ignature(s) of O r(s) o Owner(s)' Authorized Officer/Director/Partoer/Manager who signed above- s B : By Rm 06/90I2007(Rm—ding) 3, 2017 de insurance and r Planning & Development Services Building & Code Regulation division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2155 or 772-452-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit # f I, licensed as a(n)Contractor*/Engineer/Architect (Pleas print name k circle license type) *FS468 Building Inspector * t3enerul, Building, Residential or Hoofing Contractor or any individual certrfr'ed under 468 FS. to make such an inspection. On or about �j I— k — 7 � , I did personally inspect the roof deck nailing (Date) work at: fV,1 (Job site address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) Signature and Seal License # STATE OF FLORIDA COUNTYOF Sworn to and subscribed before me his 0 Ctl _day of 20 by {G1 F- ,/ J y known to me or who has produced ,4"t 1/i _-- - -_- _- asidentificatio - Notary Public, State of Florida Signature of Notary_ l Ls"t� Commission Number: gl!;�;, Fs °5-) (Seal) En 01119/2011 .4PAY.r,� MfSiY806i1lN My COMMISSION #EE888700 0 'E EXPIRES: MAR 13 2017 6ortded throagh 1st State lnsura�ce MAN 6704 Santa Clara a Pierce,t. Lia CCC 058021 Name / Address Barbara Padrick 7502 Santa Rosa Pkwy. Ft. Pierce Fl. 34951 Phone # 772464-4329 Fax # 866-610-8652 E-mail richieroofer@yahoo. com Estimate Date Estimate # 11/10/2016 1708 Description Total >>> Price to install shingle roof to florida building code will be 3300 sq ft actual 3700 total (Hail 10,340.00 damage ) Tear roof to deck and renail 8d ringshank Install a peel and stick Install new metal edging to FBC Install new 30 year Dimensional shingle with a 5 year workmanship warrantec Install all pipe flashings and goosenecks Removal of all debris and run nail magnet when complete Price for new plywood per 4x8 sheet 65.00 per sheet 0.00 Price to replace facia 0.00 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. All 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 2016 Richard Newland Barbara Padrick Total >>> $10,340.00 WWW.RICHIETHEROOFER.COM