HomeMy WebLinkAboutBuidling Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/7/18 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 — ,5. I'L'I'1 *
PROPOSED IMPROVEMENT LOCATION:
Address: 7102 DELAND AVE FT PIERCE, FL 34951
Legal Description: LAKEWOOD PARK -UNIT 10- BLK 127 LOT 6 (MAP 13/01S) (OR 766-2722)
Property Tax ID #: 1301-612-0187-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
OWENS CORNING DURATION FL#10674.1
SOPREMA RESISTO FL#2569
Lot No. 6
Block No. 127
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name JAMES WYANT III
Name: ANDREW GRIFFIS
Additional work to be nertormed under this permit — check
HVAC 11 Gas Tank []Gas Piping
all
app y:
_ Shutters
❑ Windows/Doors
Electric ❑ Plumbing
Sprinklers
Generator
Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 2500
SFt. of First Floor:
Cost of Construction: $ 10,600
Utilities:
Sewer
E]
Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name JAMES WYANT III
Name: ANDREW GRIFFIS
Address: 7102 DELAND AVE
Company: ALL AREA ROOFING
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-812-6154
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
It value of construction Is $Z5UU 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 TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenOng work or recording your Notice of Commencement.,
Rev. 8/2/17
� 4 �-.- � / �
//0"'
/ -, � - / -, -,
—
Si ture of Owner/ Lessee/Co tKactor/as Agent for Owner
ature of Contractor/Li en a Holder
((
STATE OF FLORIDA
STATE OF FLORIDt f `
COUNTY OF {' Lt .i,CLQ:
COUNTY OF c LL'LC)
The forgoing instrument was acknowledged before me
The forgoing instrLment was acknowledged before me
this �day of ��O.0�r,117r'� 20 )9'by
this�dayof �_f-'C�'��jr ,20 /(Tby
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known X 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)
�R; yUa�� ��I1 FAITH MASON
Commission No. * Y✓ifMMMISSION#GG 003939
`rry u
Commission No. `t ,� �Sealff HMASON
- IY COMMISSION
EXPIRES: June 20, 2.020
..� , * # GG 003939
�' �0 • EXPIP,ES: June 20,
Bonded Thor Budosl Notary Services
2020
FLOC Bondad';
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17