HomeMy WebLinkAboutdoc01826020190121100101ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/20/19 Permit Number:
6§4•
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: 3041 EAGLES NEST WAY PORT ST LUCIE, FL 34952
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 64 LOT 17 (OR 2228-364: 3800-816)
Property Tax ID #: 3424-702-0205-000-3
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 17
Block No. 64
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF (MOBILE HOME)
OWENS CORNING DURATION FL#10674.1
SOPREMA RESISTO FL#2569
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit —check all appy:
HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing 11 Sprinklers Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 2900
Cost of Construction: $ 11000
SFt. of First Floor: _
Utilities:cnSewer 0 Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name ROLAND BELANGER
Name: ANDREW GRIFFIS
Address: 3041 EAGLES NEST WAY
Company: ALL AREA ROOFING & CONSTRUCTION
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-340-1640
Address: 'VQ/ 5 1,1S l"+LC'Li
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 thepermit 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
before4he first inspection. If you intend to obtain financing, cons
-"\ult with lend�r or an attorney before
com fi
�ncinR work orecor6ng your Nptice of Commencemen -/, ,
Rev. 8/2/17
Owner/ Lessee/Cordractor.WAgent for Owner
Ig ture of Contractor/License der
Pgnatur`e�of
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledgedbefore me
this 20 day of JANUARY 20)9 by
this 20 day of JANUARY 2019 by
ANDREW GRIFFIS
ANDREW GRIFFIS
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
26(Signa
ure of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
.i;t� rrC IFI ITH MA
Commission No. a o F11`�I7nD�ISSIONSON #GGOC3939
c"; .�i� FAITH MASON
Commission No. 2 * MYCdt eODON # GG 003939
T'.;}�aQ
F`* EXPIRES: June 20, 2020
EXPIRES: June 20, 2020
BondedThruSudgalNotaryServices
4 Bonded'ihruBudget NotaryServices
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17