HomeMy WebLinkAboutBUILDING PERMIT APPLICATION_1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n/�
Date: 2120/18 Permit Number: 1 L In stye
^'� StLUcieCou SCANNED
RECEIVED
- —
Building Permit Application FEB 2 2 2018
Planning and Development Services ST, Lucie County, Permittin
Building and Code Regulation Division 9
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
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.PERMIT APPLICATION FOR: Roof —e,,,
PROPOSED IMPROVEMENT LOCATION: f„
Address: 5335 MONTEGO CIR FT PIERCE, FL 34�1949
1
Legal Description: OCEAN RESORTS COOPERATIVE SITE 362 (OR 3276-958; 3725-1862, 1864)
Property Tax ID #: 1410-502-0362-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW METAL ROOF `iIMOH�OME)
CONSTRUCTION INFORMATION:
Add itional work to e performed un er t is pe rn — c eck
❑HVAC Gas Tank ❑Gas Piping
a I
apply:
_ Shutters
❑ Windows/Doors
❑ Electric ❑ Plumbing
❑SpI
inklers
❑ Generator
W1 Roof 3�12 Roof pitch
Total Sq. Ft of Construction: 1500
S Ft. of First Floor:
Cost of Construction: $ 7200
Utilities:Sewer ❑Septic
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Building Height: 1 STORY
OWNERAESSEE':
CONTRACTOR:`
Name MARY JACOBS
Name: ANDREW GRIFFIS
Company: ALL AREA ROOFING
Address: SAME AS ABOVE
City: State: _
Address: 3921 S US �HWY 1
Zip Code: Fax:
City: FT PIERCE State: FL
Phone No. 609-709-7188 1
Zip Code: 34982 Fax: 772-464-6600
E-Mail:
Phone No. 772-464-6800
Fill in fee simple Title Holder on next page (if different
E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above)
i
State or County License: CCC1330649
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: 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
WARNy,ents,
OWNER: Your failure to Record a Notice of Commencem t may result in your paying twice for
improtoy r propert . A N tice Commencement mus a recor ed and posted n t e jobsite
beforet in ection. If,1�ou i end o ob,tain financing, cons with I der or,�attoiey efore
Commwo or recording v ur N tic
of Commencemen p /
nature of Owner/ Lessee/ ntra or as Agent for Owner
tgnature of Contractor/Lic e H der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5-i- luc,l{�
COUNTY OF S+ &-LQA:C
The forgoing instrument was acknowledged before me
The forgoing instru ent was acknowledged before me
thiiss��Q day of >�ibMary , 20IS by
this J day of 20/& by
(—t n GU �i�l� G I
Name of erson aking statement
Knownp OR Produced Identification'
Name of person making statement
Personally Known OR Produced Identificatio' .' c
Personally
Type of Identification
Type of Identification
Produced
Produced
N
ature of Notary Public- State of Florida
Istgnature of Notary Public- State of Florida) N
o.VA pt�k FAITH MASON
• �g*§9MM►SSION#QG003939
Commission No. *
o.09 po'g, FAITH9 C2 G) Z
Commission No. � '• • " (M1���IMISSI �'G�003.
EXPIRES: June 20, 2020
*
Na c� EXPIRES: a 20,'PD2:
14I
OFF ��� Bonded Thfu Budget Notary Services
OF F� .1 Bonded Thru Budget Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
FAITH MASON
MY COMMISSION # GG 003939
P EXPIRES: June 20; 2020