HomeMy WebLinkAboutPERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/11/17' 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: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2 lfl-1 (<j ` .N L71` c�I J� 'i e . T- L i C1 J:
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BLK 35 LOT 21 (OR 1612-929; 2327-1736, 1738)
Property Tax ID #: 3425-707-0079-000-8
Site Plan Name:
Project Name:
Lot No. 21
Block No. 35
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF (MOBILE HOME)
CONSTRUCTION INFORMATION:
Additional wor toe er orme un er t is permit—check a appy:
HVAC E] Gas Tank 0Gas Piping _ Shutters F—] Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 1930 S�Ft.j of First Floor: _
Cost of Construction: $ 7560 Utilities: L_I Sewer Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name V > l' U
Name: t-'� ('ha (tS
Address: 31 y7 J) 4r1
Company: ALL AREA ROOFING
City: t c)'-4 J k 1.l l State: FL
Zip Code: 34952 Fax:
Phone No. 772-342-7531
II `
Address: 3c�)o2 i S as �rWy
City: State: FL
Zip Code: 34982 Fax: 772-464-6600
Phone No. 772-464-6800
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: JENNIFER@ALLAREAROOFING.COM
State or County License: CCC1326177
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 Appl icable
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:
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 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 our Notice of Commencement.
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Agent for Owner
SigYcrture of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged. before me
The forgoing instrument was acknowledged before me
this �� day of OCTOBER 20 IV by
this >> day of OCTOBER zoo by
CHARLES RICHARDS
CHARLES RICHARDS
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
Ignature of Notary ublic- State of Florida )
YA Seal AITHMASON
Commission No. Vis• �,`�% ( f
'ot;:P;��r ICFAIIT�HI`�uASON
Commission No. N#
* MYCOMMtSSIO GG 003939
* * MY COMMISSION # GG 003939
EXPIRES: JUnO
m� EXPIRES: June 20, 2020
9fF6
20, 2020
E R
Ot9 BMW Thru Budget Notary Services
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17