HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/13/18 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 — ti tl
PROPOSED IMPROVEMENT LOCATION:
Address: 1747 GOLDEN PONDS DR FT PIERCE, FL 34945
Legal Description: GOLDEN PONDS- 1747 GOLDEN PONDS DR FT PIERCE, FL 34945
Property Tax ID#: 2303-211-0025-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF (MOBILE HOME)
SOPREMA RESISTO FL#2569
GAF TIMBERLINE HD NOA#16-0811.11
CONSTRUCTION INFORMATION:
Additional work to be oertormed under this permit—check all apply:
11HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing EJ Sprinklers Generator W1 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1000 S Ft. of First Floor:
Cost of Construction: $ 4250 Utilities:n Sewer E]Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name WILLIAM CLARK 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.978-994-5229 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.
U ONSR � Ia L ;fitO R�/IAT O NO
TS - ,
ma M
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 Fir
OWNER: Your failure to Record a Notice of Commencem t may result in your paying twice for
improvems to y ur property. A Notice of Commencement must recorded and posted on the jobsite
before t t in ection. If ou inten, to obtain financing, cons with I der or an ttor y before
comm Vn wo or re or r otice of Commencement
gnature of Owner/Less /C rac r as Agent for Owner JWnature of Contractor/Licens old
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 4- tLQ:%-f, COUNTY OF S+ LC( A7C,
The fo'rg t"t�[/
oing instrument was acknowledged before me The for ing instru ent was acknowledged before me
this A day of If 1 1 20)1 by this day of �/ 20A by
n- n ACtuW Cyr 1-P� � t�i �-ems ( I
Name of person aking statement Name of person making statement
Personally Known�7 OR Produced Identification Personally Known 1,--" OR Produced Identification
Type of Identification Type of Identification
Produced Produced
r
(Signature of Gary Public tate of.Fl rida ) ( ignature o Notary Public-State of Florida)
9a��c FAITH MASON s`•Y �e��o FAITH MASON
Commission No. -� �j1�I OMMISSION#GG00393 Commission No. * f(%@QJr1 ISSION#GG003939
: "PIRES:June 20,2020 � EXPIRES:June 20,2020
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C 2ccc.d hru 3 e;t; F��
Fro Bonded Thru Budget Nola:,Serv;;.ee
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17