HomeMy WebLinkAboutPermit App (Shed) All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/23/21 Permit Number:
E IJ `' ° 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:SHINGLE REROOF (SHED)
PROPOSED IMPROVEMENT LOCATION:
Address: 4840 RIVER OAK LN FT PIERCE, FL 34981
Property Tax ID#: 2430-502-0031-000-4 Lot No. 31&32
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
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 _ Pond
Electric _Plumbing _Sprinklers _Generator X Roof 4/12 Pitch
Total Sq. Ft of Construction: 1500 Sq. Ft. of First Floor:
Cost of Construction: $ 1000 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: r—L Address:3921 S US HWY 1
Zip Code: 34981 Fax: City: FT PIERCE State: FL
Phone No.772-777-0917 Zip Code: 34982 Fax: 772-464-6600
E-Mail:FAITH@ALLAREAROOFINGFTP.COM 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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
wit lender or an attorney before commencing work or recording.your Notice of Commencement.
57 �/.
S' ature of Owner/Lessee tractor as Agent for Owner 'gnature of Contractor/Lic s Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST I_uclE 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 Ph sical Presence or Online Notarization
this day of '�3e_ab 2020 by this , day of 2020 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 f Identification Type of Identification
Produ ed Produ
ignat re of Notary Public-St�W of Florid (Signs ure of Notary Public-State of Florida )
t a ITH MASON
2°:• ••,('o °'tPaY PLe(� FAITH MASON
Commission No. * * C mi Ion#GG960757 a : '•. o
Pa
Commission No. * * G � n#GG960757
Nr °r xplre June 20,2024 N
9, �� ae Expires June 20,2024
FOF Flo Bonded Thru Budget Notary Services 9l"o LOQ\ Bonded Thru Budget Notary Services
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