HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/9/20 Permit Number:
CGQE' rrirv�— e
c L U L;� ° LD Al, Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SHINGLE REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 2705 LANGSTON DR FT PIERCE, FL 34946
Property Tax ID #: 1432-806-0062-000-6
Site Plan Name:
Project Name:
Lot No. 194
Block No.
I DETAILED DESCRIPTION OF WORK: I
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
30# FELT ASTM #D226
GAF TIMBERLINE HD NOA# 16-0811.11
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof 5/12 Pitch
Total Sq. Ft of Construction: 2200 Sq. Ft. of First Floor:
Cost of Construction: $ 8550 Utilities: _ Sewer _ Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name SARAH PEARSON
Name: ANDREW GRIFFIS
Address: 2705 LANGSTON DR
Company: ALL AREA ROOFING & CONSTRUCTION
Address: 3921 S US HWY 1
City: FT PIERCE State: E
Zip Code: 34946 Fax:
Phone No. 772-461-7695
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 HAVC 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: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording,your Notice of gommencement.
I ater/-[essee/1C4aVTctor as Agent for Owner
S nature o Contract /Lice e H Ider
/
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STwCIE
COUNTY OF STwCIE
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 9 day of JULY 12020 by
this 9 day of JULY 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 Id ntification
Type of Identification
Pr e '
Prgd
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Ar;
'Cl/'4
( ignatur of otary Public- State of Florida)
('gnature of Notary Public- State of Florida )
a,,SLY Pu, FAITH MASON
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20"' PU, FAITH MASON
Commission No. „ C5�1on#GG960757
C on#GG960757
Commission No. < . Q�l�
N� o� Expires June 20, 2024
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Fla'\ Bonded Thru Budot No
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Rev. 5/6/20