HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/10/22 Permit Number:
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U c " � ° E) � 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
Residential X
PERMIT APPLICATION FOR:SHINGLE/MODIFIED REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 5810 SHANNON DR FT PIERCE, FL 34951
Property Tax ID #: 1301-613-0056-000-6
Site Plan Name:
Lot No.7
Block No. 139
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING SHINGLE/MODIFIED ROOF AND INSTALL A NEW SHINGLE/MODIFIED ROOF
LOMANCO LOR-30 NOA# 19-1217.03; POLYFLEX G, ELASTOFLEX SAY FL# 1654.1 (W-209)
POLYSTICK IR-XE FL# 525.1 (4.9); GAF TIMBERLINE HDZ NOA# 19-0312.04
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 _ Sprinklers
Total Sq. Ft of Construction: 2700
Cost of Construction: $ 13945
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
YN Roof .25/12; 5/12 pitch
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
NameJENSEN MHP, LLC
Name:ANDREW GRIFFIS
Address:5454 SW QUAIL HOLLOW ST
Company:ALL AREA ROOFING & CONSTRUCTION
City: PALM CITY State:
Zip Code: 34990 Fax:
Phone No.207-939-3331
Address:3921 S US HWY 1
City: FT PIERCE State: FL
Zip Code: 34982 Fax: 772-464-6600
Phone N0772-464-6800
E-Mail:JENSENMHP84@GMAIL.CO,
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
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
improv ents to your pro erty. A Notice of Commencemen must be recorded in the public records of St.
Lucie nt and osted the jobsio before the first insp tion. If you intend obtain financing, consult
with der or an ttorn b fo commencingwork or rec rdin our Notice f,;C m ncement.
//IV"
Sign ture orbwffer/'Le_ss4 actor as Agent for Owner
Si ature of Contracto—r/oylrr
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTI_uCIE
COUNTY OFSTI_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 10 day of MARCH , 20W by
this 10 day of MARCH , 202a 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
Type of Identification
Pro uced
Pro ennd
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ature of Notar Publ�rrSXg�te of Floi�TN1MASON
o �.
a o Commission # GG 960757
Commission No. .9 a Expir��20,2024
rFOFFI Bonded Thru Budget NotaryServices
(Signature of Notary Public- �te'o `flori a ll
* * 8i)mission # GG 960757
N e it June 20, 2024
Commission No. 9, F`oe° BoBuagetNotary Services
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