HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/22/21 Permit Number:
U Il u R� ° b) n 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: METAL REROOF
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 10751 S OCEAN DR A9 JENSEN BEACH, FL 34957
Property Tax ID #: 4511-311-0013-000-0 Lot No.
l
Site Plan Name: Block No.
Project Name: 11'
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW METAL ROOF
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 Roof 5/12 Pitch
Total Sq. Ft of Construction: 2200 Sq. Ft. of First Floor:
Cost of Construction: $ 18300 Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name JOHN & HELEN ROLAND
Name: ANDREW GRIFFIS
Address: 1112 SUNSET DR
Company: ALL AREA ROOFING & CONSTRUCTION
City: BRIELLE State: ALr
Zip Code: 08730 Fax:
Phone No. 908-461-2633
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
It 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
impr vements to your property. A Notice of Commencement must be recorded in the public records of St.
Luce County and posted on the jobsite before the first ins ction. If you intend to obtain financing, consult
w' h le der or an tore b fore commencingwork or r ordin our No ce of C mmencement.
/ /I
gnature of Owner/ ess e/ ractor as Agent for Owner
-
ignature of Contrac r/Lice se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY 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 22 day of FEBRUARY 2020 by
this 22 day of FEBRUARY , 2O2O by
ANDREW GRIFFIS
ANDREW GRIFFIS
Name of person making statement.
Name of person making statement.
Person ly Known X OR Produced Identification
Personall <nown x OR Produced Identification
Type of I entification
Type of I ratification
Pr uc
Pro ue
v
LL=,
(Signat re of Notary llublife of Florida)
natu a of Notary Public State Florida )
pgPRY PUBIi FAITH MASON
2 , o
tPRY PU6 FAITH MASON
io ,..,��l,n
Commission No. Comrn )GG960757
Commission No. * CoA#GG960757
Ny, \oe Expires June 20, 2024
FOF FI�p Bwded ThNB i1 N018 Service
`"; oe Expires June 20, 2024
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