HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/1/20 Permit Number:
G 111 CO) 1�11 0 IJ t� __:::� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 371 E MIDWAY RD FT PIERCE, FL 34982
Property Tax ID #: 3403-502-0055-000-7
Site Plan Name:
Project Name: ST LUCIE CLASSROOM
DETAILED DESCRIPTION OF WORK:
Lot No. 34
Block No.
REMOVE EXISTING MODIFIED ROOF AND INSTALL TAPERED INSULATION WITH NEW MODIFIED ROOF
New Electrical Meter Second ElectricarMeter
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: 2800
Cost of Construction: $ 16650
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof 1/12 Pitch
Utilities: _Sewer _Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name ST LUCIE CTY CLASSROOM TEACHER
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: State: _
Zip Code: Fax:
Phone No. 772-332-4547
Address: 3921 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 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: NA Not Applicable
MORTGAGE COMPANY: NA Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: NA Not Applicable
BONDING COMPANY: NA 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Countypnd posted on the jobsite before the first inspection. If you intend to obtain financing, consult
v�th lender or an attorney before corn work or rec rdin our Notice of Commencement.
Z Z/
Si nature of Own r/ Le ontractor as Agent for Owner
/STATE
�gnature of Contra or/Lic se der
OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this t day of DUNE 2020 by
this 1 day of JUNE 2020 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- State of Florida)
Commission No. GG003939 c, FAITH fdASJN
# h1Y C(§,V1A # GG 003939
! oe EXPIRES: June 20,2020\
`(Sig ature of Notary Public- State of Florida )
1.02i/ FA` ;_; MA2C%'
Commission No. GG00393s , ° PdYC(�®�I�$)ON#GGG03939
EXPIRES:June20,2020
e Banded Thru hdet Notary Service'
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