HomeMy WebLinkAboutPERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/6/18 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 — 5.}1u V.Q,
PROPOSED IMPROVEMENT LOCATION:
Address: 6205 FT PIERCE BLVD FT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK - UNIT 6-BLK 63 LOT 13 (MAP 13/02S)(OR 3826-959)
Property Tax ID #: 1301-606-0121-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 13
Block No. 63
TEAR OFF EXISTING SHINGLE ROOF ROOF AND INSTALL NEW SHINGLE ROOF
CONSTRUCTION INFORMATION:
Additional work toe e orme under t is permit —check a appy:
HVAC 11 Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof 412 Roof pitch
Total Sq. Ft of Construction: 2800
Cost of Construction: $ 11278
S�Ft.j of First Floor: _
Utilities: L_ISewer Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name CHRISTOPHER SMITH
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING
City: State: _
Zip Code: Fax:
Phone No. 772-618-5694
Address: 3921 S US HWY 1
City: FT PIERCE 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: CCC1330649
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name:
Sigpure of Contractor/License olde
MORTGAGE COMPANY: Not Applicable
Name:
Address:
COUNTY OF 5-k- L�lG1 ��
COUNTY OF S+ L( cA7C.
Address:
City:
Zip:
State:
Phone
this day of F-ebri-x&a. _,2019 by
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Name ofp m
erson akin statement
BONDING COMPANY: Not Applicable
Name:
Address:
Personally Known jz OR Produced Identification
Type of Identification
Address:
City:
Pro uced ITN MASON
* * MY COMMISSION # GG 003939
mfaQ EXPIRES: June 20, 2020
City:
Zip:
Phone:
FL0 Bonded Thru Budget Notary Services
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 structur s, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING T WNE : Your failure to Record a Notice of Commencement y result in your paying twice for
improvem to y r propert Notice Commencement must be corde nd posted on the bsite
before th f' st ins ection. If In nd o obtain financing, consult th len r or an at me b re
comme ci 2 wor or recordi V=r N tice of Commencement. /
Rev. 8/2/17
/S'aPKreof
r as Agent for Owner
Owner/ Lessee/ /77
Sigpure of Contractor/License olde
STATE OF FLORIDA
STATE OF FLORIDA -
COUNTY OF 5-k- L�lG1 ��
COUNTY OF S+ L( cA7C.
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
this to day of Fe0_ry 2019 by
�
this day of F-ebri-x&a. _,2019 by
n CWI
s
Name ofp m
erson akin statement
Name of person making statement
Personally Knowr 7OR Produced Identification
Personally Known jz OR Produced Identification
Type of Identification
Type of Identification
Produced _►RY_Pod,. FAITH MASON
Pro uced ITN MASON
* * MY COMMISSION # GG 003939
mfaQ EXPIRES: June 20, 2020
•' �O
� * * htY COMMISSION # GG 003939
EXPIRES: June 20, 2020
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w
FL0 Bonded Thru Budget Notary Services
sl H� Bonded Thru Budget NotarySerdces
Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17