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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/5/18 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 - s iL_nci ,rZ PROPOSED IMPROVEMENT LOCATION: Address: 3901 AVENUE P FT PIERCE, FL 34947 Legal Description: SUNLAND GARDENS BILK 17 E 1/2 OF LOT 8 AND ALL LOTS 9 AND 10 (0.51 AC) (OR 212-538:2505-2733; 3805-888; 900:3904-1892; 3909-2738; 3911-2443:3934-1145: 3935-1853) Property Tax ID #: 2405-601-0314-000-8 Site Plan Name: Project Name: _ Setbacks Front Back: Right Side: Left Side: Lot No. 12 OF BALL OF 9&10 Block No. 17 JFDETAILED DESCRIPTION OF WORK: I TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that appy: HVAC Gas Tank Gas Piping _Shutters ❑ Windows/Doors Electric ❑ Plumbing ❑Sprinklers Generator W1 Roof 312 Roof pitch Total Sq. Ft of Construction: 2900 Cost of Construction: $ 11625 SFt. of First Floor: _ Utilities: Sewer O Septic Building Height: 1 STORY OWNER/LESSEE: CONTRACTOR: Name LEROY JOHNSON Name: ANDREW GRIFFIS Address: SAME AS ABOVE Company: ALL AREA ROOFING City: State: _ Zip Code: Fax: Phone No. 772-464-9703 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. 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 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 T WNER: Your failure to Record a Notice of Commencem may res t in your paying twice for improveme to your roperty. A tYef Co mencement mus record and poste on the jo site before th i st insp tion. If you i no In financing, cons I with le er or an a rney of re commen I work r recording y r N f Commencemen Sig ature of Owner/ Lessee/Contrac as gent for Owner S nature of Contractor/License H9*-' DESIGNER/ENGINEER: Name: Not Applicable COUNTY OF !j -i- 1 C1{, MORTGAGE COMPANY: Not Applicable Name: Address: The for oing instrument was acknowledged before me T this day of mGZ5-C'_Y1 20 1S by Address: City: Zip: Phone State: Name of person aking statement City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable Type of Identification BONDING COMPANY: Not Applicable Name: Address: Produce frL Address: City: j`FRY P�6(, ��c��, l�F1AITH MASON Commission No. "�� Mrt�NMISSION#GG003939 .���'a ;P410, �1�' 1F�A�ITH MASON Cl Commission No. s NAL` AISSION#GG003939 City: Zip: Phone: p� oQ Bonded'i hru Budget Notary Servi ee OF FF�.O� Banded hru 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 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 T WNER: Your failure to Record a Notice of Commencem may res t in your paying twice for improveme to your roperty. A tYef Co mencement mus record and poste on the jo site before th i st insp tion. If you i no In financing, cons I with le er or an a rney of re commen I work r recording y r N f Commencemen Rev. 8/2/17 Sig ature of Owner/ Lessee/Contrac as gent for Owner S nature of Contractor/License H9*-' STATE OF FLORIDA STATE OF FLORIDA COUNTY OF !j -i- 1 C1{, COUNTY OF 5-4- L jp_A:e The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me T this day of mGZ5-C'_Y1 20 1S by this day of (Y1o_r3:,h , 20 f 9 by A n A�-tW Cir 1 o C_�l s Name of person aking statement . -C(_ft Name of person making statement n Personally KnowOR Produced Identification Personally Known _]Z OR Produced Identification Type of Identification Type of Identification Produced Produce frL natu of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida) j`FRY P�6(, ��c��, l�F1AITH MASON Commission No. "�� Mrt�NMISSION#GG003939 .���'a ;P410, �1�' 1F�A�ITH MASON Cl Commission No. s NAL` AISSION#GG003939 * \oma EXPIRES: June 20, 2020`a * \ate EXPIRES: June 20, 2020 p� oQ Bonded'i hru Budget Notary Servi ee OF FF�.O� Banded hru 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