HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/9/21 Permit Number:
° LL 0 L,° D 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: METAL REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 3401 BENT PINE DR FT PIERCE, FL 34951
Property Tax ID #: 1327-801-0031-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING TILE ROOF AND INSTALL A NEW METAL ROOF
EXTREME 1" SS FL# 25621.1
LASTOBOND SMOOTH SEAL FL# 2569 (4.11)
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
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 4900
Cost of Construction. $ 40500
Generator
Sq. Ft. of First Floor:
Lot No. 27
Block No.
Windows/Doors _ Pond
A Roof 4/12 Pitch
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name DONNA GALBRAITH
Name: ANDREW GRIFFIS
Address: 3401 BENT PINE DR
Company: ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: RL
Zip Code: 34951 Fax:
Phone No. 772-359-6691
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: WKDJK84@AOL.COM
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:
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 unty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with ender r an attorney before ,commencing work or rec dinggour Notice of Commencement.
Owner/ Lesser/CW r as Agent for Owner I fgnature of Contra ctor/rcege y%Ider
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 9 day of SEPTEMBER , 2021 by this 9 day of SEPTEMBER 2021 by
ANDREW GRIFFIS ANDREW GRIFFIS
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification
Type o identification
Pr
i
( ignatu a of Notary Public- State of Florida )
a1PRY PUB" FAITH MASON
_ o Com
Commission No. tjS£!fflp GG 960757
Qe Expires June 20, 2024
9reOF F1pl Bonded Thru Budget Notary Services
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Personal y Known x
OR Produced Identification
Type of d ntifcation
Produce
(Sig ur f Notary Public- S.We of FloridPAITH MASON
Commission No.
Com �i qGG 960757
� $
N„ Expires 7u a 20, 2024
oe
1l6'OFFVQ Bonded Thru Budget Notary services
SUPERVISOR I PLANS I VEGETATION I SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW