HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/17/21
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Permit Number:
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: FLAT REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 410 N 40TH ST FT PIERCE, FL 34947
Property Tax ID #: 2408-602-0002-000-0
Site Plan Name:
Project Name:
Residential X
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING MODIFIED ROOF AND INSTALL A NEW TAPERED MODIFIED ROOF
POLYFLEX G, ELASTOFLEX SAV FL# 1654 (W-60)
HUNTER ISO FL# 5968.1
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 1 & 4
Block No. 1
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 •25/12 Pitch
Total Sq. Ft of Construction: 1400
Cost of Construction: $ 15000
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name SARA & JESSICA CRUZ
Name: ANDREW GRIFFIS
Address: 410 N 40TH ST
Company: ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: f=L
Zip Code: 34947 Fax:
Phone No. 772-332-3453
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: NONE
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:
UWNEK/ CUNTRACTOR 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
improv ents to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie ounty and posted on the jobsite before the first inspect,�on. If you intend to obtain financing, consult
wit, ender or aO attorney, bejbre commencing work or recpr ing y,6'6r Notice of,Commencement.
re of Owner/ Lesse
STATE OF FLORIDA
COUNTY OF STLUCIE
ntractor as Agent for Owner
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 17 day of JUNE , 2021 by
ANDREW GRIFFIS
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produc l
(Signa ure of Notary Public- State of Florida )
�OtP,ry c FAITH MASON
Commission No. Comffh9PA#GG960757
9` oe Expires June 20, 2024
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ature of Contractor/Licep'serHolder
STATEOFFLORIDA
COUN 1TI OF STLUCIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 17 day of JUNE 202II 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 )
`oSPRY P(�Bln FAITH MASON
Commission No. * C0n`I4§IA1IGG960757
9j�i v�az Expires June 20, 2024
SUPERVISOR I PLANS VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW