HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/12/21 Permit Number:
P L Cii) c� ° `'' k 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: SHINGLE REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 4700 S 25TH ST FT PIERCE, FL 34981
Property Tax ID #: 3404-212-0001-000-7
Site Plan Name:
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 (5.9)
LOMANCO 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
Electric _ Plumbing
Total Sq. Ft of Construction: 4500
Cost of Construction: $ 18990
Sprinklers _ Generator
Sq. Ft. of First Floor:
Residential X
Lot No._
Block No.
Windows/Doors _ Pond
X Roof 4/12 Pitch
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name KEVIN & CHRISTIE KRUEGER
Name: ANDREW GRIFFIS
Address:4700 S 25TH ST
Company:ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: I—
Zip Code: 34981 Fax:
Phone No.772-342-1225
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: CMKKDK@GMAIL.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.
IxSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:_
Address:
City:_
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
impro ements t your property. A Notice of Commencemerr must be recorded in the public records of St.
Luci ounty anposted on the jobsite before the first insption. If you intend to obtain financing, consult
wit lender or an ttornev before commencing work or ree''c rdinzvour Notice of, Commencement.
ure of Owner/ Lessee/Contf aft6r as Agent for Owner I Uhature of Contractor/License H
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLucIE
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this ?2- day of NOVEMBEF�, 202,1 by
amef of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produ d
��n _k 10L
(S natu a of Notary Public.-a� to of Flo ' 11
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VATHMASON
Commission No. * * Commission GG960757
c Ex, Z 120, 2024
OFF oP\Bonded Thru Budget Notary Services
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
thl 12 day of NOVEMBER 2021 by
e of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Prod ced
('V!, L—un
(§igAture of Notary Public- State of Fgjda )
2otP? , FAITH MASON
mmission # GG 9607!
Commission No. 9, \o'5eaxpiresJune 20,2024
"OF F03 Bonded Thru Budget Notary Serv1
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW