HomeMy WebLinkAboutPermit app ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/24/18 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 --_5hL09LC_,
PROPOSED IMPROVEMENT LOCATION:
Address: 2407 TAMARIND DR FT PIERCE, FL 34949
Legal Description: FORT PIERCE SHORES-UNIT 1- BLK 2 LOT 26 (OR 2897-81)
Property Tax ID#: 1436-601-0046-000-1 Lot No.26
Site Plan Name: Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (DETACHED GARAGE)
Sopr,zslu_ Qes+Ski IRIII 0%)o I
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit—check a apply:
11HVAC Ei Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers El Generator Z Roof 5�12 Roof pitch
Total Sq. Ft of Construction: 1200 S Ft. of First Floor:
Cost of Construction: $ 4200 Utilities:nSewer 0Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name RICHARD MADDEN Name: ANDREW GRIFFIS
Address:8036 LAKESIDE QUARRY DR Company: ALL AREA ROOFING&CONSTRUCTION, INC
City: JEFFERSON State:IN Address: 3921 S US HWY 1
Zip Code: 41730 Fax: City: FT PIERCE State: FL
Phone No.502-216-5242 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.
I�JIP LE1 �N O S R.UCT(;O
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 OWNER: Your failure to Record a Notice of Commencement ay result in your paying twice for
improvem s to y ur property A Notice of Commencement must be corde and posted on the jobsite
before t Irst i pection. If int nd t obtain financing, consul th len r or an att ey for
come n w k or recor o r N Ice of Commencement.
gnature of Owner/Lessee on r as Agent for Owner 5 ature of Con tractor/Licen se\4401 v
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -k- L'LaC1-L COUNTY OF S+ LUQt:e.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
,lf
this�day of Rf)ri 1 (, , 20_d by this�day of_ft Cj l 20ja by
n, Ef e,W COY I-F-t, _
Name of n person aking statement Name of person making statement
Personally Know �7OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
lgnature of Notary Public-State of Florida ) ature of Notary Public-State of Florida )
FAITH MASON r+i pus FAITH MA50N
• ISSION#GG 003939 �'O
Commission No. * M Y�� Commission No. �� * MYCOj$"IpN#GG003939
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1/7
EXPIRES:June 20,2020 EXPIRES:June 20,2020
,1p- DondadThru Budget Nola ry Services - 2,P� Bonded'fhru 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