HomeMy WebLinkAboutdoc01508420181012103432ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/11/18 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
PROPOSED IMPROVEMENT LOCATION:
Address: 208 N 40TH ST FT PIERCE, FL 34947
Legal Description: WILBUWE BLK 6 N 15 FT OF LOT 4 AND ALL LOT 5 (0.21 AC) (OR 479-2540)
Property Tax ID #: 2408-603-0062-000-1
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
SOPREMA RESISTO FL#2569
TAMKO HERITAGE FL#18355.1
Lot No. 4&5
Block No. 6
CONSTRUCTION INFORMATION:
Additional work to be ertormed under t ispermit —check a11 appy:
HVAC Gas Tank E]Gas Piping _ Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1800
Cost of Construction: $ 6950
SFt. of First Floor: _
UtilitiesInSewer OSeptic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name LEWIS HARRISON
Name: ANDREW GRIFFIS
Address: 4300 EVERGREEN AVE
Company: ALL AREA ROOFING
City: FT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No. 772-359-6246
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: FAITH@ALLAREAROOFINGFTP.COM
State or County License: CCC1330649
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 WNER: Your failure to Record a Notice of Commencemen may result in your paying twice for
imp me s to yo r property. A Notice of Commencement must b record d and posted on the jobsite
before th first ins ection. If yo ten to tain financing, cons ith le er or an at ney fo
comme i wor or recordi our oti of Commencement.
Rev. 8/2/17
Si ature of Owner/ Lessee/ r r Agent for Owner
at re of Contractor/Licens o
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5-4- Uy'n-L,
COUNTY OF 5+ LLLQ_:e.
The fo� Ding instrument was acknowledged before me
The forgoing instru ent was acknowledged before me
thisa/day of 'C .ft>/F (i" 20r by
this !/vii of (% l E�JL-r 20 /9 by
1 1 n Aa1W Cir 1,-P� S
,dayy
}---t'f Y x(-ao
n
Name of person aking statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known 1,-" OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
An! PUeFAITH MASON
o'0 PUa�� FAITH MASON
Commission No. * MYCgSWMION4GG003939
Commission No. �dY+�l�H�SION4GG003939
EXPIRES: June 2.0, 2020
kh�.6"-
mEXPIRES: June 20, 2020
Bonded] hru Budget Notary Services
'OFF 'iBonded Thru Budget Notary Seryces
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17