HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED
Date: 2/20/18
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APPLICATION TO BE ACCEPTED
Efr1 Permit Number:
Dv RECEIVED
�t Lucie cog*
Building Permit Application FEB 2 7 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof 11 (TW-04
PROPOSEDLM.PROV.EMfNT LOCATION: r{, Z,,
Address: 9481 WANGLE RD FT PIERCE, F LI 34947
Legal Description: 3 35 39 W 150.04 FT OF E 450I12 FT OF N 1/2 OF NW 1/4 OF NE 1/4-LESS RD AND CANAL RSM- (1.65 AC) (OR 304-838)
Property Tax ID #: 2303-121-0005-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
I
-DETAILED DESCRIPTION O:F WORK:
TEAR OFF EXISTING SHINGLE
_ Right Side: Left Side:
AND INSTALL A NEW METAL ROOF
Lot No.
Block No.
4�1 ,
CONSTRUCTION INFORMATION:
itiona wor to e e orme under t is permit— check
E1HVAC E] Gas Tank I ❑Gas Piping
a
apply:
_ Shutters
Q Windows/Doors
Electric 0 Plumbing I
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 3000
S . Ft. of First Floor:
Cost of Construction: $ 17540
I
Utilities: 0
Sewer OSeptic
Building Height: 1 STORY
•O,WNER/LESSEE:
CON TxRACT91R^;.
Name WILLIAM MCPHERSON
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING
City: State: _
Address: 3921 S US HWY 1
Ii
Zip Code: Fax: I
City: FT PIERCE State: FL
Phone No. 772-318-8629
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.
IIPP E .'E ' AL G® LY
I �� ,EN..(
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
I
Address:
City:
Zip: Phone
State:
I
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
I
City:
Zip: Phone:
I
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 Flori a Building Codes and St. Lucie County Amendments.
The following building permit applications are exl mpt 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 T OWNER: Your failure to Record a Notice of Commenceme may result in your paying twice for
iml vem is toy ur propert A Notic of Commencement must recor d and posted on t e jobsite
before t first inflection. If . inn 00
obtain financing, cons ith I der or Vtt7nexiefore
comme nR w4k or recordikg vo�ir tice of Commencement.
I
11144�� .40 7
Zxve —
1000AI� �Vllv/z //
Siena ti ire ;ee/CY trac r as Agent for Owner
Si ature of C;ntractor/Lice ;>41Vr
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this .90 day of r4-Jw Lt"U , 2012 1 by
this _x9b day of 20 / $ by
ri
Name of person aking statement I
Name of person making statement
Personally Known �� OR Produced Identification
Personally Known _)� OR Produced Identification
Type of Identification i
Type of Identification
Produced
Produced
�
I
i
w
JSigat0re
(Signature of Notary Public- State of Florida)
of Notary Public- State of Florida)
�o,PaY Pile,,, I FAITH MASON
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at Y Pua. FAITH MASON
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Commission No. *( WA MMISSION # GG 003939
MY
Commission No. * Q631f�E!$];ION#GG003939
w o� I EXPIRES: June 20, 2020
o� EXPIRES: June 20, 2020
?'FOF F��P\ (Bonded Thru Budget Notary Services
>�ar ft 0' `� Bonded Thru Budget Notary Sendus
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Rev. 8/2/17