HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/9/21 Permit Number:
Q IL U G L ED) - =-
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: 3720 SAINT BENEDICTS RD FT PIERCE, FL 34982
Property Tax ID #: ST JAMES PARK BLK 10 N 25 FT OF LOT 6 AND ALL LOT 7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
SOPREMA RESISTO LB1236 FL# 2569 (4.13)
TAMKO HERITAGE FL# 18355.1
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 7500
_ Generator
Sq. Ft. of First Floor:
Residential X
Lot N o. 25'OF6&ALLOF 7
Block No. 10
Windows/Doors _ Pond
Roof 4/12 Pitch
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name Omar Noa Acosta & Claudia Noa
Name: ANDREW GRIFFIS
Address: 2307 Avenue O
Company: ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: JL
Zip Code: 34950 Fax:
Phone No. 786-260-1403
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_h lender or an attorney before commencing work or re=rding your Notice of C mmencement.
nature of Owner/ L see/ ontractor as Agent for Owner
Signature o ontractor Lice se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
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 9 day of MARCH , 2021 by
this 9 day of MARCH 2021 by
ANDREW GRIFFIS
ANDREW GRIFFIS
Name of person making statement.
Name of person making statement.
Personal Known x OR Produce Identification
Personally nown x OR Produced Identification
Type of d cation
Produce
Tyke-of-ld cation
Prod ce
(Signature f Notary Pub c- State f Florida)
Si nat a of Notary Pu Ic- State of lorida )
"'Y, Uart FAITH MASON
Commission No. _ (5%earilssion#GG960757
Expires June 20, 2024
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Commission No. ? ' ' ° COmrhi��I�h GG960757
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FFNotary
Sergios
REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETE D
ev. 5/6/20