HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/17/20 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SHINGLE REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 4300 EVERGREEN AVE FT PIERCE, FL 34947
Property Tax ID #: 2406-501-0024-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
Residential X
Lot No. 16,17,18
Block No. 2
GAF TIMBERLINE NOA#19-0312.04, GAF LEAK BARRIERS NOA#18-1023.10 (TIGERPAW - FULL UNDERLAY)
(WEATHERWATCH - PENETRATIONS), GAF COBRA RIDGERUNNER FL#6267-R16
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 X, Roof 6/12 Pitch
Total Sq. Ft of Construction: 4000 Sq. Ft. of First Floor:
Cost of Construction: $ 14000 Utilities: —Sewer _ Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name LEWIS HARRISON
Name: ANDREW GRIFFIS
Address: 4300 EVERGREEN AVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No. 772-359-6246
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
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 IPnder or an attornev before commencinE work or recording vour Notice of Commencement.
Sig ature of Owner/ Less e/C ntractor as Agent for Owner
of nature Contractor/Lie older
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 17 day of SEPTEMBER 12020 by
this 17 day of SEPTEMBER 12020 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 P
Produced
(Signature of Notary Pu��ic- State of Florida
uelc FAITH
(Si �e of Notary Public- State of Florida )
=o1Pa MA ON
Commissio 960757
Commission No. • - + ���P)
'�'IkY P&, FAITH MASON
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Commission No. �74=U�J`�� * �al�ommission#GG960;
.,r. Yt: oe Expires June 20, 2024
";, Expires June 20, 202
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bonded Thru Budget Notary Services
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Rev. 5/b/20