HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/7/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: METAUFLAT REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 6209 LILYAN PKWY FT PIERCE, FL 34951
Property Tax ID #: 1301-609-0067-000-3
Site Plan Name:
Residential X
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE/MODIFIED ROOF AND INSTALL A NEW METAL/MODIFIED ROOF
Lot No. 23
Block No. 5
EXTREME 5V FL# 17022.1; SOPREMA LASTOBOND FL# 2569 (4.11); POLYFLEX G, ELASTOFLEX SAV FL# 1654.1
RAZORBACK RV FL# 4640.2
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: 4000 METAL; 600 MODIFIED
Cost of Construction: $ 29850
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
X Roof 4/12; .25/12 Pitch
Utilities: —Sewer _Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name LISA COLLISON
Name: ANDREW GRIFFIS
Address: 6209 LILYAN PKWY
Company: ALL AREA ROOFING & CONSTRUCTION
City. FT PIERCE State: _LL
Zip Code: 34951 Fax:
Phone No. 772-633-5101
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: LJCOLLISON@AOL.COM
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, 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.
Luci County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wit lender or an attorney before commencing work or r ordi our Notice of Commencement.
/Q11
signature of Owner e / ontractor as Agent for Owner
Signature of Contractor i e 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 7 day of APRIL 12020 by
this 7 day of AFRIL 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 f Identification
Produ0
Type f Identification
Prod ed
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igna re of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
P&,,�c FAITH MASON
Commissic�l�`1�'O. FAITH MASON (Seal)
=ot'RY
Co lyo. Commission# GG 960757 (Seal)
* * Commission # GG 960757
Ny. \ate Expires June 20, 2024
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/210