HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/29/18
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 -5kl' qtt
PROPOSED IMPROVEMENT LOCATION:
Address: 475 PELICAN SHOAL PL FT PIERCE FL 34982
Legal Description: TROPICAL ISLES (OR 2786-2163) UNIT G-24
Property Tax ID #: 3410-508-0177-000-8 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 NEW SHINGLE ROOF (MOBILE HOME)
OWENS CORNING SHINGLE FL#10674.1
OWENS CORNING UNDERLAYMENT FL#22222.1
CONSTRUCTION INFORMATION:
Additional work to be ertormed under t ispermit — check all appy:
HVAC Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 6700
S. Ft. of First Floor: _
Utilities:Sewer 11 Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name TROPICAL ISLES CO-OP INC
Name: ANDREW GRIFFIS
Address: 281 TROPICAL ISLES CIR
Company: ALL AREA ROOFING
City: FT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5366
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.
PPLENLEN: ;A C®: 5CTI`� (�: GES
:IIPORMA� fO:Nr
DESIGNER/ENGINEER:
Name:
Not Applicable
STATE OF FLORIDA
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
COUNTY OF S+ l.I. QA:C,
The forgoing instrument was acknowledged before me
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
n
Personally Know� OR Produced Identification
BONDING COMPANY: _Not Applicable
Name:
Address:
Type of Identification
Produced
Address:
City:
City:
Zip: Phone:
ture of Notary Public- State of Florida )
Pt/s��n
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 TO WNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improveme to yo property. A Notice of Commencement must befiecorded and posted on the jobsite
before th f rst insptction. Ify our tme O to ain financing,consul ith len r or an attorney before
comme c R wor or recordiof Commenceent.
Rev. 8/2/17
nature of Owner/ Lessee/Co rac as Agent for Owner
nature of Contractor/License er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �j-i- LuG1 [,
COUNTY OF S+ l.I. QA:C,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of C� 20 d by
this day of , 20 by
1
Name of person ,aking statement
Name of person making statement
n
Personally Know� OR Produced Identification
Personally Known 1,,-" OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ature of Notary Public- S^of Florida)
ture of Notary Public- State of Florida )
Pt/s��n
FAITH MASON
A�gay FAITH MASON
Commission No. # MY�9�dWIJS10J#GG 003539
Commission No. * 1`800& ISSIONNGG003939
oP EXPIRES: June 20, 2020
EXPIRES: June 20, 2020
OQ� Bonded Thru Budget Nota Services
OF fL 9 Notary
0�
`
"OF Flog Bonded'rhru 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