HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/23/19 Permit Number: 1ct\ v3'or,,'
RECEIVED
• OCT 2 4 ?.039
Building Permit Application
Planning and Development Services ' ST. Lucie County, Permitting
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 ROOF OVER & FLAT REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 010 FLOOD RD FT PIERCE, FL 34982
Property Tax ID#: 3404-501-0516-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL SHINGLE OVER SHINGLE; REMOVE EXISTING MODIFIED ROOF AND INSTALL A NEW MODIFIED ROOF
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 o'r�/ Pitch
Total Sq. Ft of Construction: 1900 Sq. Ft. of First Floor:
Cost of Construction:$ 6075 Utilities: —Sewer —Septic Building Height: 1 STORY
OWNERAESSEE: CONTRACTOR:
Name SANDRA BOGAN 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.407-802-9739 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.
. y
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
POS ED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WI YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME CEM NT."
"_I, I .)".- Xvl_/7� //,"I—
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nature of Owe see Con actor as Agent for Owner ature of Contractor/Lice e H er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST WCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 23 day of OCTOBER 20JJ by this 23 day of OCTOBER 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
(Signature of Notary Public- to exp rfI rida) FAITHMASON n re o otary Public-State of Florida)
�o......p ip o VAYPUs� FAITH MASON
Commission No. GGoo393s * * YCQMMISSION#GG003939 Commission No. a -C
�c ]RES:June 20,2020
GG003939 467AM ISSION#GG 003939
pBonded Thm Budget Notary Services " \oQ EXPIRES:June 20,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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