HomeMy WebLinkAboutPermit App ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/31/18 Permit Number:
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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 — -`6 n JLQ
PROPOSED IMPROVEMENT LOCATION:
Address: 8460 GALLBERRY CIR PORT ST LUCIE, FL 34952
Legal Description: SAVANNA CLUB PLAT THREE BILK 25 LOT 24 (OR 2731-416)
Property Tax ID#: 3425-703-0234-000-1 Lot No.24
Site Plan Name: Block No. 25
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (MOBILE HOME)
TAN KO HERITAGE FL#18355.1
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all apply:
�HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator IZI Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1700 S Ft. of First Floor:
Cost of Construction:$ 6000 Utilities:cn Sewer 0 Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name DANNY WILDERMUTH 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.772-905-9771 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.
FORMA�1m®N �` `
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 TO WNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improveme to you roperty. A Notice of Commencement must recorded and posted on the jobsite
before th st insp tion. If yo tend to tain financing, consu ith len r or an att ne before
comme i work r recording./your
our oti of Commencement.
S" nature of Owner/Lessee/Co ntr r gent for Owner nature of Contractor/Licen �Jer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 54- Luc,%-[, COUNTY OF --5 "_
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_U day of m�(_� 20 1�; by this 3- / day of fRQ �, 20 /g by
Name of person aking statement Name of person making statement
n Personally Know OR Produced Identification Personally Known_ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
11 C' 4:v
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
^'.'i PU'9 S I, FAITH MASON kt Fuel, IIS F ITH MASON
Commission No. *(k1e MISSION#GG003939 Commission No.
E fdAe�h SION#GG003939
r EXPIRES:June 20,2020
y aQ EXPIRES:June 20,2020 a
Bonded Thru Budget Notary Services Bonded Thru Budget Notary Serviirm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17