HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/29/21 Permit Number:
Q �._
U a @) R� ° DO 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: 5802 SEAGRAPE DR FT PIERCE, FL 34982
Property Tax ID#: 3402-609-0290-000-1 Lot No. 12
Site Plan Name: Block No. 60
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
OC DURATION FL#10674; SOPREMA RESISTO LB1236 FL#2569(4.13); LOMANCO OMNIROLL LOR-30 NOA#19-1217.03
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 4/12 Pitch
Total Sq. Ft of Construction: 1700 Sq. Ft. of First Floor:
Cost of Construction: $ 10950 Utilities: _Sewer _Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name DEBORAH&MICHAEL DIXON Name:ANDREW GRIFFIS
Address:6304 LASALLE RD Company:ALL AREA ROOFING & CONSTRUCTION
City: DELRAY BEACH State: /fl_ Address:3921 S US HWY 1
Zip Code: 33484 Fax: City: FT PIERCE State: FL
Phone No.772-631-7466 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No 772-464-6800
Fill in fee simple Title Holder on next page(if different E-Mail FAITH@ALLAREAROOFINGFTP.COM
from the Owner listed above) 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
wi lender or an attorney boor boor# commencing work or reWding your No ice of qo mencement.
10,ature of owner/Lessee/Co ra or as Agent for Owner &gnature of Cinfr6a ctor/LkII older
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 29 day of APRIL 202 F by this 29 day of APRIL 2021 by
ANDREW GRIFFIS
Name of person making statement. Name of person making statement.
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Personally Known x OR Produced Identification Personally Known x OR Produced Identifications 'K
Type T1 Identification Type of Identification
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ign ure of Notary Public-State of Florida) Cd Fn a
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Commission No. * ►�ssion#GG960757 Commission No. _ ' ` ° Commissior{I�P81�60757� o �
Expires June 20,2024 "9r \ate Expires June 20,2024 y o 8 z
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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