HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/25/18 Permit Number: 01
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: 204,SMALLWOOD AVE.FT PIERCE, FL 34982
Legal Description: RUHLMAN S/D BLK 7 LOTS 15 AND 16 (0.32 AC) (OR 3333-1507)
Property TaxjlD#: ,3403-805-0135-000-2 Lot No. 15& 16
Site Plan Name: Block No. 7
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE'EXISTING SHINGLE ROOF AND INSTALL NEW METAL ROOF
CONSTRUCTION INFORMATION:
rtionawortoe ermeuner Tis—permit— appy:
HVAC ' D Gas Tank ❑Gas Piping _Shutters Windows/Doors
ElElectric 0 Plumbing []Sprinklers I Generator W1 Roof 612 Roof pitch
Total Sq. Ft of Construction: 2900, S Ft. of First Floor:
Cost of Construction:$ 15,950.00 Utilities:Cn Sewer Septic Building Height: 1STORY
OWNER/LESSEE: CONTRACTOR:
Name JAMES OGDEN Name: ANDREW GRIFFIS
Address:204 SMALLWOOD AVE Company:.ALL AREA ROOFING
City: FT PIERCE State:FL Address: 3921 S USHWY 1
7Zip Code: 34982 Fax: City: FT PIERCE State:FL
Phone No.772-359-2177 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: FAITH@ALLAREAROOFINGFTP.COM
from the Owner listed above) State or County License: CU,J,-�55 aegg
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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.
I
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 ay result in your paying twice for
improvem toy r property. A Notice of Commencement must ecorde and posted on the jo site
before t f st in ection. If intend to btain financing, cons ith len r or an at ne bef e
comme ci we or record o Nci ' e of Commencement.
xt
S- ature of Owner/Lessee/Con t r as Agent for Owner nature of Contractor/License H r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF S+ Lc,QA:C,
The f rgoing instr�xne1nt'was acknowledged before me The forgoing instr ent was acknowledge before me
this day of l�C�IU r _,20)g by this.! G�day of �;�O�r ,20 by
Name of person aking statement Name of person making statement
Personally Known��OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
t
(Signature of Notary Public-State of Florida) N-1giziture of Notary Public-State of Florida)
�a�asi;Fue`/o FAITH MASON ��.nt ,.� SgITH IASON
Commission No. * MY&PRASION#GG 003939 Commission No. t * MYCOt��MN#GG003939
\ate EXPIRES:June 20,2020 ae EXPIRES:June 20,2020
��ptOQ Borated Thru Budget Notary Services Ftir%4 Bonded Thru 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