HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/26/19
COUNTY
F 1_ n R I r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: SHINGLE REROOF
PROPOSED IMPROVEMENT LOCATION:
Commercial Residential X
Address: 6616 FORT PIERCE BLVD FT PIERCE, FL 34951
Property Tax ID #: 1301-607-0351-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
OWENS CORNING DURATION FL#10674.1
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 3900
Cost of Construction: $ 15375
Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Lot No. 4
Block No. 85
Windows/Doors
Roof 3/12 Pitch
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name FERNANDO BUENO
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: State: _
Zip Code: Fax:
Phone No. 772-643-2366
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
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: x Not Applicable
Name:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
f
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
XNot Applicable
Address:
Address:
ANDREW GRIFFIS
City:
City:
Name of person making statement.
Zip: Phone:
Zip: Phone:
Type of Identification
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITJF1 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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nature of Owner/ Less ee/C actor as Agent for Owner
of Contractor Icen e er
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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 acknowledged before me
this 26 day of JUNE 2011 by
this 26 day of JUNE 20 / q 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
1
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Fir of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
ta�Y Pia FAITH MASON
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°�:0 Puri, FAITH MASON
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Commission No. s° .• '•
MYCOP�nh�i§�6�J#GG 003539
Commission No. MYCOfV&IFN#GGC03939
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EXPIRES: June 20, 2020
EXPI?ES: June 20, 2020
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Rev. 2/1/i9