HomeMy WebLinkAboutPermit app ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/23/18 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[AL 1
PROPOSED IMPROVEMENT LOCATION:
Address: 7102 ARTHURS RD FT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 12- BLK 164 LOT 5 (MAP 13/12S) (OR 2057-2635: 3471-925; 3477-843)
Property Tax ID#: 1301-614-0177-000-3 Lot No.5
Site Plan Name: Block No. 164
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
TRI BUILT SAND FL#16048.1
TAMKO HERITAGE FL#18355.1
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all apply:
E1HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator W1 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 3300 S Ft. of First Floor:
Cost of Construction: $ 12200 Utilities:cn Sewer 0Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name DIANE OLIVER Name: ANDREW GRIFFIS
Address:SAME AS ABOVE Company: ALL AREA ROOFING &CONSTRUCTION
City: State:_ Address: 3921 S US HWY 1
Zip Code: Fax: City: FT PIERCE State:FL
Phone No.772-595-2211 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1330649
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
rPPL�E�/l A CONS R (1N ��, a
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
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 T WNER: Your failure to Record a Notice of Commencennegg may result in your paying twice for
I 3rovem s to yo property. A Notice of Commencement must recor d and posted on the jobsite
before th rst insp -lion. If yo ten to ob in financing, con su with le der or an at ey before
comme wor r recordin ur otice f Commencement.
S ature of Owner/Lessee/Contr t r as gent for Owner nature of Contractor/License Ho e
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Lett, COUNTY OF
The for oing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20/8 by this_Q3_day of MQlr,h , 20_0 by
A n ACtW Cyr I S n2d(__ems C'� .I P�r' `7�_
Name of person aking statement Name of person making statement
Personally Known��OR Produced Identification Personally Known_�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
r
(Signature of Notary Public-State of Florida) ature of Notary Public-State of Florida )
\,p,�p,RY P�a(/c ��'�1�F��AITH MASON PµY puelin IS ITH MASON
Commission No_ M�Yt11�TA1SSI0N#GG003939 Commission No. Ml�e�
+ * SSION#GG 003939
oe EMPIRES:June 20,2020 '. ' \ae EXPIRES:June 20,2020
u' Oonded h u:c pot tcotap 9ery we op Floe' Bonded ihru Budget Notary 9e
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17