HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/2/22
I. [LUC
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR:METAL/MODIFIED REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 126 Queen Bess CTHutchinson Island, FL 34949
Property Tax ID#: 1414-701-0151-000-9
Site Plan Name:
Project Name:
Lot No. E
Block No. 16
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE/MODIFIED ROOF AND INSTALL A NEW METAL/MODIFIED ROOF
POLYFLEX G, ELASTOFLEX SAY FL# 1654.1 (W-209); C1 DC4 nwlo �ApI�'_ (�u W'aI99_J:
EXTREME .032 1 "SS FL# 25621.8
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 3550
Cost of Construction: $ 35700
_ Gas Piping
Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof 4/1 )_X1 � itch
Utilities: —Sewer —Septic Building Height: 2 STORY
OWNERAESSEE:
CONTRACTOR:
Name HAROLD & ELIZABETH WHITEHEAD
Name:ANDREW GRIFFIS
Address:126 QUEEN BESS CT
Company:ALL AREA ROOFING & CONSTRUCTION
City: HUTCHINSON ISLAND c /6a96 State: f_L
Zip Code: 34949 Fax:
Phone No.770-365-1390
Address:3921 S US HWY 1
City: FT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-6600
Phone No772-464-6800
E-Mail:RAYW3215@BELLSOUTH.NET
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.
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.
Lucig County and posted on the jobsite before the first insp ction. If y intend to obtain financing, consult
wit lend r or atto ne before commencingwork or re rdin our Notio of Commencement.
SiAature o ner Les / ractor as Agent for Owner
� gnature of ontractor i n Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTwciE
COUNTY OFST WCIE
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 , 202D by
this day of FEBRUARY , 20261 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
Pr d A
Type of Identification
ProdW
�'/RNzj)L�
(Sig a ure of Notary Public- Staff fJlorida)
=o FAITH MASON
# * (Com fission # GG 960757
Commission No. N S
!ilc res June 20, 2024
yfFoF FLAPS Bonded Thru Budget NolaryServices
(Si ature of Notary Public- State of �)grrida )
FAITH MASON
Commission No. Se�4rrnlssion # GG 96075
s, \o: Expires June 20, 2024
OFF a� Bonded ihru Bud
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