HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/15/21
p 11 U Imo? 0 U to - =;
Permit Number:
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: 2700 WILDWOOD LN FT PIERCE, FL 34981
Property Tax ID #: 2420-802-0090-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No. PARTIAL LOT 19,20.21
Block No. 4
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 4/12 Pitch
Total Sq. Ft of Construction: 2400 Sq. Ft. of First Floor:
Cost of Construction: $ 9200 Utilities: —Sewer _ Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name CLARENCE & DELOISE TAYLOR
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: State: _
Zip Code: Fax:
Phone No. 772-370-8938
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
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, sighs, 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.
Luclg7County and posted on the jobsite before the first inspe tion. If you intend to obtain financing, consult
wik'lender or an attornev before commencins work or recNina your Notice of Commencement.
Spfidtdre of Owner/ Less ee/Qonfracto7 as Agent for Owner rSTATE
ature of Contractor/Li
STATE OF FLORIDA OF FLORIDA
COUNTY OF ST LUCIE UNTY OF ST LUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 15 day of FEBRUARY , 2021 by
ANDREW GRIFFIS
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Prodalced
(Si ature of Ny - tarblic- State of Florida )
�o-'pRY„ue��� FAITH MASON
Commission No. * C(wgi0on#GG960757
�y \o= Expires June 20, 2024
r$ OF F' Bonded Thru Budaet Notary Sam —
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 15 day of FEBRUARY , 202a by
ANDREW GRIFFIS
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
6 v
Sig ature of Notary Public- State of Florida )
ot�rr FAITH MASON
Commission No. * * 4&ftWon # GG 960757
Expires June 20, 2024
SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW