HomeMy WebLinkAboutPermit App (Main)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/23/21 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: SHINGLE REROOF (MAIN)
PROPOSED IMPROVEMENT LOCATION:
Address: 464U HIVER OAK LN FT PIERCE, FL 34981
Property Tax ID #: 2430-502-0031-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
NOA# 19-1217.03 LOMANCO LOR-30; FL# 5259.1 (4.9) POLYSTICK IR-XE
NOA# 19-0312.04 GAF TIMBERLINE HDZ
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
_Electric _Plumbing _Sprinklers _Generator Roof 4/12
Total Sq. Ft of Construction: 4100
Cost of Construction: $ 16300
Sq. Ft. of First Floor:
Lot No. 31&32
Block No.
Pond
Pitch
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name JOE HARMON
Name: ANDREW GRIFFIS
Address:4840 RIVER OAK LN
Company: ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: lfL
Zip Code: 34981 Fax:
Phone No. 772-777-0917
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: FAITH@ALLAREAROOFINGFTP.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
n vdMe or construction is zSuu or more, a Ktcurcutu ivotice 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:
UVVNtK/ SUN I KAL I UK 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
impr vements to your property. A Notice of Commencement must be recorded in the public records of St.
Luc' County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wi lender or -)an attornev_before commencing wnrk nr rprnrdinor vnilr Nnfiro of rnmmonrnmo +
i nature of Owner/ L s /Contractor as Agent for Owner
SiodtuYe of Contractor/License
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLucIE
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 � day of ;i > P -b�.r� 2020 by
this 93 day of ,5fl.m-b-Pr 202& 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 .dentification
Produced
Produc d)
r'
\(Sign ure of Notary Public- State of Florida jAITH MASON
AOB(i F
ure (Signatof Notary Public- State of Florida )
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Commission No. * * Cif ion#GG960757
O,�PPV POB1, FAITH MASON
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Commission No. Comrr✓isIGG960757
xpires June 20, 2024
9�FOF F`OP� Bonded Thru Budget Notary Services
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