HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !,,
Date: ? ' 2, ' I0 Permit Number: 1c0 S - C (093
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- RECEIVED
liSIMMENIKEINISMINUMINESINIIP Building Permit Application
Planningand Development Services ",?
Building and Code Regulation Division MAR 2 3 20;.�
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Pernitti �,g
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resid I It�dt X -
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMNT LOCATION „- ,• /�
Address: T31' 1 4��/€ cur -4 - €A c4e_ "1.1�
Legal Description: SUNLAND GARDENS BLK 20 WLY 1/2 OF Ler 4 AND ALL LOT 5 (0.28 AC) (OR 1124-2392)
Property Tax ID#: 2405-601-0366-000-7 Lot No.4&5
Site Plan Name: Block No. 20
Project Name: 3401 Ave P Fort Pierce,FL34947
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK W ,
Remove and replace the existing roof system with the same or similar roof system
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CONSTRUCTION INFORMATION ' ,
Additional work to be performed under this permit-check all`haapply:
IIIHVAC —Gas Tank Gas Piping I Shutters ❑Windows/Doors
I I Electric ❑_ l Plumbing _Sprinklers I Generator 'Roof IIA Roof pitch
Total Sq. Ft of Construction: 17 3o S . Ft. of First Flo r:
Cost of Construction:$ 9,672.00 Utilities: _Sewer 1/1Septic Building Height:
OWNER/LESSEE / CONTRAC/TOR:Andros Cbnstuction.LLC
Name-5yGP.Q.II:(}.v,(1G II-1 !rigavvi Name: 1-1-Uf�(4? 14tl /Q10,, y
Addres :-.31-10( 4vQ Company: Andros Construction LLC
City: ?i ecG2_- State:FL Address: 2706 Atlantic Ave
,
Zip Code: 34947 Fax: City:/- v l7rQC — State:FL
Phone No.772-672-9812 Zip Code: 3947 Fax:
E-Mail: Phone No. 772-475-4915
Fill in fee simple Title Holder on next page(if different E-Mail: AndrosConstuction@gmail.com
from the Owner listed above) State or County License: CCC1327225
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER:
ER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: f Name: ,r
Address: Address: f
J
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:2706 Atlantic Ave Address: //1/ n _
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
comm•ncin:," ork or recording your Notice of Commencem nt.
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Sign. ure o Owner/Lessee Contra, or as Agent for Owner Sig .ture of Contractor icense Holder
ST TE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucia
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 22 day of March ,20 by this 22 day of march ,20 by
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification none Personally Known x OR Produced Identification none
Type aType
°Wilife746116ficalOriblirtYll M. Garwood Type of Identification
Produ2e,14,I ?• fission #M175422 Produced Lloyd M,Constant
• t., Expires:January 10,2022 ,
.,,fFv Bonded thru Aaron Notary / ,t ��„ , ✓
-n10- c00141 ; Or Aa��.�i/'�,, Kimberlyn M.Garwood it .. �. . : ..;
(Signature of Notary Public-State of Florida) (Sign ur'!cf riga4rPaiRartfagliltligida)
; Expires:January 16,2022
Commission No. GG175422 (Seal) Comrrfi i tr. GeOntreti alto Aaron Notary (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