HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/24/20
Permit Number:
�°1---
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/MODIFIED REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 422 WILLOWS AVE PORT ST LUCIE, FL 34952
Property Tax ID #: 3419-510-0191-000-6 Lot No. 2
Site Plan Name: Block No. 17
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE/MODIFIED ROOF AND INSTALL A NEW SHINGLE/MODIFIED ROOF
n 0
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 Y Roof 3/12, .25/12 Pitch
Total Sq. Ft of Construction: 2600
Cost of Construction: $ 9800
Sq. Ft. of First Floor:
Utilities: -Sewer _ Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name KIRK HOOSAC
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: State: _
Zip Code: Fax:
Phone No. 561-578-0555
Address: 3921 S US HWY 1
City: FT PIERCE State. FL
Zip Code: 34952 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: NA Not Applicable
Name:
MORTGAGE COMPANY: NA Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: NA Not Applicable
Name:
BONDING COMPANY: NA 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 Commencement.
// 14 - ;1'// W )_ - - - " 12, 1 2, - -
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Sign re of Owner/ Lessee racto as Agent for Owner
sifignature of Co acte en a Ho er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
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 24 day of JULY 2020 by
this 24 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 K own x OR Produced Identification
Type of Ientification
Type of Ide tification
Produce?d
Produce _-
/
G/ /Vy/V
g_na re of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
o1►gv Poen, FAITH MASON
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opt:. 4ei, FAITH MASON
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Commission No. Comml�gnr GG960757
Commission No. * * Comnj GG 960757
�9 a� Expires June 20, 2024
� \ae Explres June 20, 2024
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