HomeMy WebLinkAboutPermit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/11/18
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 - ac'
PROPOSED IMPROVEMENT LOCATION:
Address: 8174 13TH HOLE DR PORT ST LUCIE, FL 34952
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BLK 35 LOT 7 (OR 1616-1811)
Property Tax ID #: 3425-707-0065-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 7
Block No. 35
REMOVE EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (MOBILE HOME)
SOPREMA RESISTO FL#2569
GAF TIMBERLINE HD NOA#16-0811.11
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit —check a appy:
HVAC Gas Tank E]GasPiping _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 7700
SFt. of First Floor: _
Utilities: Sewer []Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name DONALD SMITH
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING
City: State: _
Zip Code: Fax:
Phone No. 772-344-9166
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.
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DESIGNER/ENGINEER:
Name:
Not Applicable
STATE OF FLORIDA
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
COUNTY OF 5+ L Ap_A:, .
The forgoing instrument was acknowledged before me
Address:
City:
Zip: Phone
State:
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City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
Personally Know_7m OR Produced Identification
n
BONDING COMPANY: Not Applicable
Name:
Address:
Type of Identification
Produced
Address:
City:
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( ture o Notary Public- State -,of Florida )-Abri 1v1ASG1
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City:
Zip: Phone:
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EXPIRES: June 20, 2020
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Bonded Thru Budget Notary Services
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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 OWNER: Your failure to Record a Notice of Commenceme t may result in your paying twice for
improve is to ur propert A Notice of Commencement must recor ed and posted on th jobsite
before t first i pection. I� intend to ptbtain financing, cons with I der or att ney b fore
comm Ing w k or record yo Noti a of Commencemen .
Rev. 8/2/17
nature of Owner/ Lessee/Co act as Agent for Ownerignature
of Contractor/License Hol er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S4- Will
COUNTY OF 5+ L Ap_A:, .
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this J day of lq0rl by
this // day of 29�rj. 2012 by
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Name of person aking statement
Name of person making statement
Personally Know_7m OR Produced Identification
n
Personally Known I,,"' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Commission No. tam 1v(1��,� 3SION#GG 003939
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EXPIRES: June 20, 2020
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Bonded Thru Budget Notary Services
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17