HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/26/21 Permit Number:
QV L Vo M�o p 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 REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 6601 OCALA AVE FT PIERCE, FL 34951
Property Tax ID #: 1301-612-0382-000-7
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:
Lot No. 10
Block No. 134
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing
Total Sq. Ft of Construction: 2700
Cost of Construction: $ 11600
Sprinklers _ Generator _X_ Roof 5/12 Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height: 1&2 STORY
OWNER/LESSEE:
CONTRACTOR:
Name TIFFANY YERKEY & NATHAN JUSEK
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: State: _
Zip Code: Fax:
Phone No. 330-389-4344
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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wit lender or an attorne efore commencing work or regordirig yourINotice of Commencement.
— ZiL
JZlr�e2of�O/vwWne'r//
A /i
L see/ ntr ctor as Agent for Owner
ignature of Contractor/Li&nse4iolcler
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 26 day of FEBRUARY , 2020 by
this 26 day of FEBRUARY 2020 by
ANDREW GRIFFIS
ANDREW GRIFFIS
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Type of If
Personally Known x OR Produced Identification
Type of Identification
Prod e '
Prod_gc .
(Sign re of Notary Public- to of Florida)
�o��ft: PIB/ FAITH lM�ASON
Commission No. Comm"N4GG960757
Sign ture of Notary Publ - S to of Florida )
p1PR ;PU, F� H MASON
Commission No. �' `' T1(on#GG960757
NpT� oPa� Expires June 20, 2024
Bowled Thn, Al ;IAIGFy
a`' \or Expires June 20, 2024
F F
t Notary Services
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20