HomeMy WebLinkAboutBUILDING APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/7/18
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
PROPOSED IMPROVEMENT LOCATION:
Address: 3021 INDIGO BUNTING CT PORT ST LUCIE, FL 34952
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB (PB 42-24) BLK 57 LOT 5 (OR 4124-1609)
Property Tax ID #: 3424-701-0068-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 5
Block No. 57
REMOVE EXISTING SHINGLE ROOF & INSTALL NEW SHINGLE ROOF (MOBILE HOME)
SOPREMA RESISTO FL#2569
OWENS CORNING DURATION FL#10674.1
CONSTRUCTION INFORMATION:
Additional work toe performed under tispermit—check all that appy:
HVAC 0 Gas Tank []Gas Piping _ Shutters ❑Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ❑ Generator Pv] Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 8500
Sq. Ft. of First Floor: _
Utilities: 0 Sewer E] Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name RICHARD ROSS
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING AND CONSTRUCTION
City: State: _
Zip Code: Fax:
Phone No. 772-408-7931
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@ALLAREAROOFINGFTP.COM
State or County License: CCC1330649
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 may result in your paying twice for
imp rovem s to y r property A Notice of Commencement must a recooded and posted on the jobsite
before t Irst in ection. If y, intey(� tQ obtain financing, cons wither cler or an �ttorryey before
comme c R wo or recordi your ce of Commencemen . , Q
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 may result in your paying twice for
imp rovem s to y r property A Notice of Commencement must a recooded and posted on the jobsite
before t Irst in ection. If y, intey(� tQ obtain financing, cons wither cler or an �ttorryey before
comme c R wo or recordi your ce of Commencemen . , Q
Rev. 8/2/17
nature of Owner/ Lessee ontr cto as Agent for Owner
gnature of Contractor/Li n der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 54- LuGI{,
COUNTY OF S+ UXQA:C,
The forgoing instrument was acknowledged before me
The forgoing instru ent was acknowledged before me
this _ day of /770-%j 20 1? by
this �n dayof by
A n �tW lir I
�1r20�
%—t7 Y �—Q C� C `hj
Name of person aking statement
Name of person making statement
n
Personally Know�7OR Produced Identification
Personally Known _1,1"' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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t
lgnature of Notary Public- State of Florida)
ture of Notary Public State of Florida—TS)
'. Av pueFAITH MASON
Commission No. 1dY(�Q��I SIONa GG 003939
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Commission No. . P:1YC�&AION#GG003939
�a EXPIRES: June 20, 2020
EXPIRES: June 20, 2020
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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