HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/27/18
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 — I �L L�,
PROPOSED IMPROVEMENT LOCATION:
Address: 3300 AVENUE Q FT PIERCE, FL 34947
Legal Description: SUNLAND GARDENS BLK 12 LOT 20 -LESS S 10 FT- (0.18 AC) (OR 180-554; 2327-1326:2986-2679:3054-1434)
Property Tax ID #: 2405-601-0244-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF
TAMKO HERITAGE FL#18355.1
SOPREMA RESISTO FL#2569 LB1236
Lot No. 20
Block No. 12
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit — check a appy:
HVAC Ei Gas Tank F]Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2300
Cost of Construction: $ 9200
SFt. of First Floor:
Utilities:cnSewer Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name DAPHNE HOGAN
Address: PO BOX 236521
Name: ANDREW GRIFFIS
Company: ALL AREA ROOFING & CONSTRUCTION
City- COCOA State: FL
Zip Code: 32923 Fax:
Phone No. 772-332-4251
Address: 1-0/ S LAS f�iU�
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:
Zip: Phone:
City:
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 t e first inspection. If you intend to obtain financing, consult with lender or an attorney before
comma cing,work or recording your Notirre of Commencement
Rev. 8/2/17
S?n,lture of Owner/ Lessee-XQ131tor gent for Owner
Si a ure ontrac /License Ho(der /
STATE OF FLORIDA
STATE OF FLORIDA
CO U NTY OF ST LUCIE
CO U NTY OF ST LUCiE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 27 day of DECEMBER 2019 by
this 27 day of DECEMBER 2010 by
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
Z ignature of Notary Public- State of Florida)
(Siture of Notary Public- State of Florida )
Opti'! PUBMASON,.dC�
o ,., t, FAITH
Commission No. (SSealCommission
6fY
T. „
FAITH MASGN
No. z+ y GG 07393
* C MMISSION # GG 003939
*���r���IISSION
EXPIRES: June 20, 2020
. o� EXPIRES: June 20, 2020
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BeridedThruBumgetNotar/SeRices
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17