HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/10/20 Permit Number:
° L 0) �_z ° L' n - 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: FLAT REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 3158 WILL FEE RD FT PIERCE, FL 34982
Property Tax ID #: 2428-112-0002-000-8
Site Plan Name:
Project Name: R&B SERVICE GARAGE
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING TAR & GRAVEL ROOF AND INSTALL A NEW MODIFIED ROOF
FL# 1654.1 POLYFLEX G, ELASTOFLEX SAV
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 1400
Cost of Construction: $ 8975
Generator X Roof •25/12 Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name SLC Mosquito Control Dist
Name: ANDREW GRIFFIS
Address: 2300 VIRGINIA AVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: �
Zip Code: 34982 Fax:
Phone No. 772-323-1505
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: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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.
Lu ie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
w' h lender or an/jattorney before commencing work or reptirding your Notice of Commencement.
Za )--a / Z'
gnature of OwKer/Ye4e/dcJ6actor as Agent for Owner
Pgnature of Contracfor/L-kegge HkArl
STATE OF FLORIDA
STATE OF FLORIDA
CO NTY 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 day of 2020 by
this day of 2020 by
ANDREW GRIFFIS
ANDREW GRIFFIS
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Prodacce�
Personally KAown x OR Produced Identification
Type of Ide .ification
Produced
I
(Sign atu a of Notary Public- State of Florida)
=o�P?; roB�c FAITH MASON
Co mission No. , Com$W& # GG 960757
"s o� Expires June 20, 2024
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e o otary Pu lic- State of Florida )
tot! `: a�ei� FAITH MASON
=onNo. * C4k8Wibn#GG960757
'9.. Q�Qe Expires June 20, 2024
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