HomeMy WebLinkAboutBUILDING PERMIT All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/8/19 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 TYPE:SHINGLE REROOF (MOBILE HOME)
PROPOSED INPROVEMENT LOCATION:
Address: 6739 YEDRA AVE FT PIERCE, FL 34951
Property Tax ID#: 1306-111-0001-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL ANEW SHINGLE ROOF
TAMKO HERITAGE FL#18355.1
TAMKO MOISTURE GUARD FL#12328.4
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 X Roof 5/12 Pitch
Total Sq. Ft of Construction: 1700 Sq. Ft. of First Floor:
Cost of Construction:$ 7000 Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name KINGSLEY&DOROTHY GERNON Name:ANDREW GRIFFIS
Address:6145 GREENBRIAR TERRANCE [� Company:ALL AREA ROOFING&CONSTRUCTION
City: FAYETTEVILLE State:PFl Address:3921 S US HWY 1
Zip Code: 17222 Fax: City: FT PIERCE State:FL
Phone No.772-925-2851 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin or_k or recording our Notice of Commencement. /
lAature of Owner/Less eeitonti-h6c,r as Agent for Owner nature of Contractor ic, nse K61der
STATE OF FLORIDA ) STATE OF FLORID
COUNTY OF L.f =1 COUNTY OF LuCI�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this__L day of — r 20ja by this & day of h in ni 20 /T by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced ask;;P"e FAITH MASON Produced
* MY COMMISSION#GG 003 9
EXPIRES:June 20,2020
Bcrderl'i h u Budget Notaq,Sarvi
(Signa ure of Notary Public-State of Florida) (S-ig'na ure of Notary Public-State of Florida)
o :Y PLe�i 5AITH MA'50N l;Ue�,o FAITH MASON
Commission No. 9 gCommission No. "W
MYCd18d�JN#GG003939
WeaqcoMmIssIoN#GG003
EXPIRES:June 20,2020aQ EXPIRES:June 20,2020
F e.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 9/26/18