HomeMy WebLinkAboutPermit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/16/20 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
PROPOSED IMPROVEMENT LOCATION:
Address: 5107 FORT PIERCE BLVD FT PIERCE, FL 34951
Property Tax ID #: 1301-603-0103-000-0
Site Plan Name:
Project Name:
Lot No. 16
Block No. 20
I DETAILED DESCRIPTION OF WORK: I
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW 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
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2300
Cost of Construction: $ 9000
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Windows/Doors
Roof 3/12 Pitch
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name ALAN & LOURDES LUNA
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: State: _
Zip Code: Fax:
Phone No. 772-770-2120
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
It value of construction is 5Z500 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:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Si ture' of Owner/ e/ ont ctor as Agent for Owner
4gnatuWof Cont ct r/L cen Holder
STATE OF FLORIDA
STATE OF FLORIDA
CO NTY OF ST LUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 16 day of MARCH 20l C by
tY
this 16 day of MARCH Z()?D 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
Produce
Produce
(SI re of Notary Public- State of Florida)
( g ture of Notary Public- State of Florida )
N.(Pua F iTFiPIASON
!,^
` ^s! ,ION 9 GG 003939
Commission No. GG003939 q * iAYG('tg
c`' ` :r� i FAiTH ivii;SuN
GG003939
Commission No. (See7`I]v0,'IVISW J � 003
af��T FXP;? S: June 20, 2023
Service,;
�G
� o F (PIPES: Juno 2 2020
.« °Q Bonded (iv18edoet Notary
,
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