HomeMy WebLinkAboutBuilding Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/18/21 Permit Number:
L & U: o u O� -= - 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
PROPOSED IMPROVEMENT LOCATION:
Address: 8721 HIDDEN PINES RD FT PIERCE, FL 34945
Property Tax ID#: 2323-701-0022-000-0 Lot No.7
Site Plan Name: Block No. B
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
GAF TIMBERLINE HDZ NOA# 19-0312.04; POLYSTICK IR-XE FL#5259.1 (4.9)
LOMANCO OMNIROLL LOR-30 NOA# 19-1217.03
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 5/12 Pitch
Total Sq. Ft of Construction: 4300 Sq. Ft. of First Floor:
Cost of Construction: $ 18600 Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name WILLIAM&DONNA SISCO Name:ANDREW GRIFFIS
Address:8721 HIDDEN PINES RD Company:ALL AREA ROOFING &CONSTRUCTION
City: FT PIERCE State:f Address:3921 S US HWY 1
Zip Code: 34945 Fax: City: FT PIERCE State:FL
Phone No. 772-940-3427 Zip Code: 34982 Fax: 772-464-6600
E-Mail:DGSISCO@YAHOO.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 inspecPon.Jf you intend to obtain financing, consult
wit lender or an attorney before commencing work or rec din our N tice of Co me ement.
SiA'06't4
aturre of Owner/Lesset r actor as Agent for Owner SiPature of Contractor icer. a R#er
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF *-
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 18 day of OCTOBER 2010 by this 18 day of OCTOBER 2021 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 Identification Type o dentification
P Produc I
� �h �
(Signatu a of Notary Public-State of Florida ) nat re of Notary Pu ic-Sta of Florida)
�o��,�.•PoB�.� FAITH MASON o"PAy Poe FAITH MASON
Commission No. * Commissi Commission No. _ '' ''•
���960757 * * &M�ion#GG 960757
N9jFa l�P\O� Expires June 20,2024 N9 a= Expires June 20,2024
FF
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.