HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/13/21 Permit Number:
giro [LuaiE
P I! 6 111, ° ED) L'� 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: FLAT REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 6208 LILYAN PKWY
Property Tax I D#: 1301-609-0034-000-3 Lot No. 112 OF 9,ALL OF 10
Site Plan Name: Block No. 3
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING MODIFIED ROOF AND INSTALL A NEW MODIFIED ROOF
EL-41 LA I I Pf-�J q �'U T�I��s���F1 eX say
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 •25/12 Pitch
Total Sq. Ft of Construction: 650 Sq. Ft. of First Floor:
Cost of Construction: $ 4650 Utilities: —Sewer _Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name BARBARA MESITI Name:ANDREW GRIFFIS
Address:6208 LILYAN PKWY Company:ALL AREA ROOFING &CONSTRUCTION
City: FT PIERCE State: VL Address:3921 S US HWY 1
Zip Code: 34951 Fax: City: FT PIERCE State: FL
Phone No. 772-465-7525 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 C unty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with I nder gr an attorney,before commencing work or recording our Notice of Commencement.
Ll /
Sig&ifure of Owner/Lesse_j/C r,tfaEeor as Agent for Owner Sigk ure of Contractor/Lic nse H/ f
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 13 day of MAY 202V by this 13 day of MAY 2021 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 of Identification Type of Identification
Produc d Produc
(S`ignattire of Notary Public-State of Florida) (SI ure of Notary Public-State of Florida)
=oSF,RY PUBIric FAITH MASON tPRY P ei, FAITH MASON
Commission No. * t T9®81�sion#GG960757 Commission No. * COMA91el� GG960757
" Expires June 20,2024 N9i a�°e Expires June 20,2024
F FQ3 Bonded Thru Bu
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.