HomeMy WebLinkAboutPermit App.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/22
WOE
Permit Number:
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: 874 SE TIERRA CT PORT ST LUCIE, FL 34983
Property Tax ID #: 3419-550-0032-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW SHINGLE ROOF
Residential X
GAF COBRA EXHAUST VENT FL# 6267 (4.1); POLYSTICK IR-XE FL# 5259.1 (4.9)
GAF TIMBERLINE HDZ NOA# 19-0312.04
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.7
Block No. 64
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 4/12 Pitch
Total Sq. Ft of Construction: �J00 Sq. Ft. of First Floor:
Cost of Construction: $ 10500 Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name Grape Leaf Park LLC
Name:ANDREW GRIFFIS
Address: PO Box 8
Company:ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: F1_
Zip Code: 34954 Fax:
Phone No.954-554-8525
Address:3921 S US HWY 1
City: FT PIERCE State: FL
Zip Code: 34980 Fax: 772-464-6600
Phone No772-464-6800
E-Mail:NABILKISHK@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 CCC1 330649
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.
Luci� County and ,ppppsted on the jobsite before the first inspection. If you intend to obtain financing, consult
with,' lender or an(attoxfnev before commencing work or recording vour Notice,of Commencement.
Sigfature of Owner/ Lefsee7ar5�factor as Agent for Owner 4gnature of Cc ntr`acfor-niie"r, Ider
STATE OF FLORIDA // STATE OF FLORIDA l
COUNTY OFSTwCIE COUNTY OFSTt_UCIE
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 z day of FEBRUARY , 2029 by this 2 day of FEBRUARY 2029. by
ANDREW GRIFFIS ANDREW GRIFFIS
Name of person making statement. Name of person making statement.
Personally Known x
OR Produced Identification
Type oflldentification
Produc
7
(, 'gnat e of Notary Public- State of Florida )
p'lh� PU, FAITH MASON
Commission No.
Co�f�on#GG960757
y'i1 sae Expires June 20, 2024
FOI f, 0Q Bonded Thru Budget Notary Services
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev�IU2_0___
Personally Known x OR Produced Identification
Type of Identification
Prodt2ed
/'
";No. �' 2, . � 6'-"
C', — '( 'IL —
(Signature of Notary P blor?,sSt4e of FloropT) MASON
Commission # GG 960757
Commission No. 'A Expir&k1@20, 2024
�FopF`o�� Bonded Thru Budget Notary Services
SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW