HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/20/21 Permit Number:
,
° rs `� °Do 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:
Residential X
Address: 6803 SANTA ROSA PKWY FT PIERCE, FL 34951
Property Tax ID #: 1301-613-0344-000-2 Lot No. 19
Site Plan Name: Block No. 151
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
GAF TIMBERLINE HDZ NOA# 19-0312.04; GAF WEATHERWATCH FL# 10626.1 (4.3);
GAF COBRA RIDGE RUNNER FL# 6267 (4.7)
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: 3700 Sq. Ft. of First Floor:
Cost of Construction: $ 14500 Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name TIMOTHY HOBAN
Name: ANDREW GRIFFIS
Address: 6803 SANTA ROSA PKWY
Company: ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-519-0184
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: TMH966@COMCAST.NET
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
It 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 I MORTGAGE COMPANY: x Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:_
Address:
City:_
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.
Lucl County and posted on the jobsite before the first inspe'9tion. If you intend to obtain financing, consult
witV lengler orr%aq attoryley before commencing work or rec rding your Notice,of Commencement.
nature of Owner/jleVee/Contractor as Agent for Owner I lignaturi of ContractcMi6ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 20 day of MAY , 202 jl by
ANDREW GRIFFIS
Name of person making statement.
Personally Known x OR Produced Identification
Type pf-,entification
Produce • ',
(Signature Notary PuRc- State of Florida
ua" FAITH
o-0
.i... , o
Commission No. + +
MA ON
C0tnrnissI0J§&gP60757
N9, \oeExpires
June 20, 2024
FOF F
Bonded Thru Budget Notary Services
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COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 20 day of MAY 202f by
ANDREW GRIFFIS
Name of person making statement.
Personally Known x OR Produced Identification
Type Identification
Prod .rice
-
ISignat re of Notary Public- State of Florida
=otPRY PU" FAITH MASON
Commission No. + * Corn""#1313960757
N9. `oQ Expires June 20, 2024
Fer c� ow' Bonded Thru Budoel Notary Services
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