HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/8/21 Permit Number:
K n
c� ° DoQ 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: METAL/FLAT REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 120 QUEEN BESS CT HUTCHINSON ISLAND, FL 34949
Property Tax ID #: 1414-701-0148-000-5
Site Plan Name:
Project Name:
Lot No. B
Block No. 16
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE/MODIFIED ROOF AND INSTALL A NEW METAL/MODIFIED ROOF
EXTREME 1" SS .032 FL#25621.2; SOPREMA LASTOBOND FL#2569(4.11); RAZORBACK RV FL#4640.2
POLYFLEX G, ELASTOFLEX SAV FL#1654.1
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 _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator X Roof 4/12; .25/12 Pitch
Total Sq. Ft of Construction: 4700
Cost of Construction: $ 37,500
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name WILLIAM GOVERNALE
Name: ANDREW GRIFFIS
Address: 2478 RIVER TREE CIR
Company: ALL AREA ROOFING & CONSTRUCTION
City. SANFORD State: 1'-L
Zip Code: 32771 Fax:
Phone No. 321-228-3944
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: BILLG@TITALMECHANICAL.ORG
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: I
DESIGNER/ENGINEER: x Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State:
x Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:_
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
State:
x Not Applicable
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 contlict 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.
Lucl County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
witVllender or an attorney before commencing work or recprding your Notice of Commencement.
ure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFSTLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 8 day of APRIL 2021; by
ANDREW GRIFFIS
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Prodgred
E tOAP ' re of Notary Public- S�at4 of Florida
MASON
.• e�i
a o C
Commission No. * * T`��on # GG 960757
oQ Expires June 20, 2024
9lFOF F1.Op` Bonded Thru Budget Notary Services
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
ature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this B day of APRIL , 2021 by
ANDREW GRIFFIS
Name of person making statement.
Personally Known x OR Produced Identification
Type of identification
Produced,
(Signature of Notary Public- State of Florida
Pnp )
2o',,,•e",c FAITH MASON
Commission No. * * Comm O?GG960757
Na oe Expires June 20, 2024
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