HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/25/21 Permit Number:
Ira UflcoL
171 L C, i) Ik � ° D t 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/FLAT REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 6211 LILYAN PKWY FT PIERCE, FL 34951
Property Tax ID #: 1301-609-0068-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVED EXISTING SHINGLE/MODIFIED ROOF AND INSTALL A NEW SHINGLE/MODIFIED ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 24
Block No. 5
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 4/12 & .25/12 Pitch
Total Sq. Ft of Construction: 4300
Cost of Construction: $ 17800
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name CURTIS SMART & CAROL HOLLAND
Name: ANDREW GRIFFIS
Address:466 MIDDLETOWN AVE UNIT 20
Company: ALL AREA ROOFING & CONSTRUCTION
City: NEW HAVEN State: 07
Zip Code: 06513 Fax:
Phone No. 203-640-8830
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 Commencemegnt may result in paying twice for
improvements to your property. A Notice of Commencement Mst be recorded in the public records of St.
n. If you inte d o obtain financing, consult
Luci ou9ty and post on he jobsite before the first in eqdi�rgyour
wi ender or a att a for ommencin work or r Noti of Cgibmincement.
nature of Owner Le e/ o for as Agent for Owner
gnature of Contractor/Li nse Ider
STATE OF FLORIDA
STATE OF FLORIDA
CO NTY OF ST LUCIE
COU NTY 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 25 day of JANUARY 2020 by
this 25 day of JANUARY 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 dentification
Type of Identification
P�.oducid,
i
Produc
G
7ignture of Not ry Public- State of Florida)
POFAITH�p`BlFAITH
•ission No. Qal)Commisslon#GG960
(Sig ture of Notary /Public- State of FloridaPaY
MASON
;Commission No. * (TMifilssion#GG960757
N9,�oF F`oP�oeExpires June 20, 202
BOWedFo
N;r
`op�or Bond� Tres June 20, 2024
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