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HomeMy WebLinkAboutPermit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4/10/18 157- NTY '�M F L O R 1 D R 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 PROPOSED IMPROVEMENT LOCATION: Address: 5717 TANGELO DR FT PIERCE, FL 34982 Legal Description: INDIAN RIVER ESTATES -UNIT -09- BLK 76 LOT 31 (MAP 34/11N) (OR 3383-1889) Property Tax ID #: 3402-610-0176-000-0 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF Lot No. 31 Block No. 76 CONSTRUCTION INFORMATION: Additional work toe e orme under this permit — check a appy: HVAC E] Gas Tank E]Gas Piping _ Shutters Windows/Doors Electric ❑ Plumbing Sprinklers 1:1 Generator Z Roof 712 Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 5500 1325 SFt. of First Floor: UtilitiesInSewer Septic Building Height: 2 STORY OWNER/LESSEE: CONTRACTOR: Name GREG KLAWITER Name: ANDREW GRIFFIS Address: 18540 GLADES CUTOFF RD Company: ALL AREA ROOFING & CONSTRUCTION, INC Address: 3921 S US HWY 1 City: PORT ST LUCIE State: FL Zip Code: 34987 Fax: Phone No. 772-342-8373 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 SZ500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name:_ Address: City: _ Zip: Phone State FEE SIMPLE TITLE HOLDER: _ Not Applicable Name:_ Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: I/VV IYtK/ UUly I KAU I UK AftIUVI I: 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 TO WNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvemen to your operty_ A Notice of Commencement must b recorded and posted on the jobsite before the t inspec on. If you VIfend to obtain financing, consu ith leader or an attorney bef e " commen work o recordinEr v ur Notice _61' Commpnrpmpnf / // / Rev. 8/2/17 Signature of Owner/ Lessee/Contra c s nt for Owner S nature of Contractor/License er /// STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 54- ULO-1-C, COUNTY OF 5+ LUQAe. The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 10 day of PQ( -i 1 20 I4Z by this _M day of r� 204& by ig I1 GU �� Cw I -PC-, <�- Name of person,making statement Name of person making statement Personally Known NOR Produced Identification Personally Known OR Produced Identification Type of Identification _� Type of Identification Produced Produced r (Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida) 2o`PY FAITH M 50N Commission No. 1C��P,,���I a rdyCOMMI5 4 GG 003939 w p��` n1i i ri iv1A3u�I C ",..... L Commission No. MyCOMML`(5&wh003939 � EXPIRES: June 20, 2020 'FOFFcQF� ' EXPIRES: June 20, 2020 Bonded Thru Sudgst Notary Services . eOF F���\ Banded Thru 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