HomeMy WebLinkAboutPermit app All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/25/19 Permit Number:
- iJr
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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 TYPE:SHINGLE REROOF -- 01 ) LU VVon,u-
PROPOSED INPROVEMENT LOCATION:
Address: 2847 EAGLES NEST WAY PORT ST LUCIE, FL 34952
Property Tax ID#: 3424-702-0177-000-7 Lot No. 16
Site Plan Name: Block No. 63
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL NEW SHINGLE ROOF (MOBILE HOME)
CERTAINTEED NOA#17-1211.08
1-o-mRr, rno'�54tLrt Card i L " 1, 3IS,H
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator Roof 3/12 Pitch
Total Sq. Ft of Construction: _S000 Sq. Ft. of First Floor:
Cost of Construction: $ 12800 Utilities: —Sewer _Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name DONALD&CONSTANCE APPEL Name:ANDREW GRIFFIS
Address:SAME AS ABOVE Company:ALL AREA ROOFING& CONSTRUCTION
City: State:_ Address:3921 S US HWY 1
Zip Code: Fax: City: FT PIERCE State:FL
Phone No.616-212-5202 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 CCC1330649
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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.
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 Oe first inspection. If you intend to obtain financing, consult lender or an attorney before
comm ncin wo_rK or recgrrding your Notice of Commencemen .
!/pa ure of Owner/Lesse C tract- as Agent for Owner S4gnature of Contractor/License 14olcler
STATE OF FLORIDA 1 LC/ice STATE OF FLORIDA
COUNTY OF 1•� COUNTY OF 5-F 1n�C ti
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 5S day of �Q� 20J9 by this day of a C(y) 20 19 by
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known �/y OR Produced Identification
Type of Identification Type of Identification
Produced Produced
� 1
gnature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
rrAITH MASON =o`"T'Y PUs FA!TH(MASON
Commission No. r * My(%WISSIONNGG003939 Commission No. * h(504YI5SIONHGG003939
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EXPIRES:June 20,2020 aa� EXPIRES:June 20,2020
o DoodedThru6u aetNo;rr. c oF` 90ndad'IhNEud e t
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev. 9/26/18