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