HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/5/18
Permit Number:
•
rir
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: 237 BERMUDA BEACH DR FT PIERCE, FL 34949
Legal Description: CORAL COVE BEACH -SECTION ONE- BLK 4 LOT 46 (OR 1240-1806)
Property Tax ID #: 1425-701-0110-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF
Lot No. 46
Block No. 4
CONSTRUCTION INFORMATION:
Additional work toIeenel orme under this permit — check a appy:
HVAC L_I Gas Tank E]Gas Piping _ Shutters a Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator Roof 512 Roof pitch
Total Sq. Ft of Construction: 3400
Cost of Construction: $ 13000
S�Ft.I of First Floor: _
Utilities: n Sewer Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name LINDA DUPLESSIS
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING
City: State: _
Zip Code: Fax:
Phone No. 772-332-9938
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
It value of construction is $ZWU or more, a RECORDED Notice of Commencement is required.
COI�S��1�f"11DINI
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
COUNTY OF 154- WC it-
Name:
Address:
The for oing instrum Ot was acknowledged before me
�
Address:
City:
State:
City: State:
Zip: Phone
Name of person making statement
OR Produced Identification
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
Type of Identification
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
2o�PRY�ez�c FAITH MASON
FAITH MASON
Address:
City:
ae EXPIRES: June 20, 2020
*(��tr1MISSION#GG
,, EXPIRES: June 20, 2020
City:
Zip: Phone:
REVIEWS
FRONT
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 WNE Your failure to Record a Notice of Commenceme m/reIt in your paying twice for
improveme to yo property. Notice of C mmencement must recand pV
d on the ' bsite
beforethe I st insp ction. If yo�(iteto�ain financing, consu ith or an rn�i be re
commen wor or recordin�Q//�7 oi. otic of Commencement.��
Rev. 8/2/17
Signature of Owner/ Lessee/Cont or Agent for Owner
S" nature of Contractor/License er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 154- WC it-
COUNTY OF S+ L,(X t:C-.
The forgoing instrurDent was acknowledged before me
The for oing instrum Ot was acknowledged before me
�
this � day of rch Ik by
this day of 20J by
"20
n ActW Cir I -P11
Name of person aking statement
Name of person making statement
OR Produced Identification
Personally Know�7 OR Produced Identification
n
Personally Known
Type of Identification
Type of Identification
Produced
Produced
ature of Notary Public- State f Florida)
(Signaturf otary Pu lic- Sta a of Florida
e o )
2o�PRY�ez�c FAITH MASON
FAITH MASON
Commission No. * t&g MISSION#GG003939
M M
Commission No. 003939
ae EXPIRES: June 20, 2020
*(��tr1MISSION#GG
,, EXPIRES: June 20, 2020
�FFLOQ� Banded Thru Budget Notary Services
c�
�c pQ` Banded Thru Budget Notary Services
OFFL
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17