HomeMy WebLinkAboutBuilding Permit Application 9
t
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/2/20 Permit Numb
r
Building Permit Application '<'eo Flo-' o
Planning and Development Services ' �N,
Building and Code Regulation Division ���3�4
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 2910 SHERWOOD LN FT PIERCE, FL 34982
Property Tax ID#: 2421-701-0011-000-1 Lot No.11
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW METAL 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 X Roof 3/12 Pitch
Total Sq. Ft of Construction: 2900 Sq. Ft. of First Floor:
Cost of Construction:$ 14700 Utilities: —Sewer _Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name EDNA JOHNSON 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.772-971-1191 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: _KNot 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W H YO R LIQNDERQR.AN A ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
i ature of OwnerrLess4y
tractor as Agent for Owner nature of Contrac r icAnloolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST WCIE
The forgoing instrument was acknowledged before me The forgoin&instrument was acknowledged before me
this 2 day of MARCH ,20_0 by this 2 day of MARCH ,20 -V0.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
Prodticed Produced
ature of Notary Public-State-of Florida) (Signature of Notary Public-State of Florida)
tr. rue FAIT8III40N' v
rllol FA.rif1A3C.L'
Commission No. GG003939 *feCSAtdIS510ia#GG 003939 Commission No. GG 003939 5 c
Q 0393,
EX ES:June 20,2020 *� �R :June 0, 020
o EXPIRES:June 20,2020
Bonded ThruBudget Notary Services
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.