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