HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2123/18 Permit Number:
SGANNFM RECEIVED
By �.
Building egrra f , lication FEB 2 7 2018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT: LOCATION:
Address: 9481 WANGLE RD FT PIERCE, FL 34947 �
Legal Description: 3 35 39 W 150.04 FT OF E 450.12 FT OF N 1/2 OF NW 1/4 OF NE 1/4-LESS RD AND CANAL RS/W
(1.65 AC) (OR 304-838)
Property Tax iD #: 2303-121-0005-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
.DETAILED DCRIPTION,OFWORK: `
ES
:1
TEAR OFF SHINGLE ROOF AND INSTALL METAL ROOF1, AN1 1t1 :U"Bh11'LD'ING��
OHVAC Ll Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 130
Cost of Construction: $ 590
unaer tnis permit — cI
Gas Piping
Sprinklers
an Mapply:
_ Shutters
EGenerator
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
QWindows/Doors
0 Roof 4/12 Roof pitch
Building Height: 1 STORY
OWN ER/LESSEE:
CONTRACTOR-, 3
Name WILLIAM MCPHER80N
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING
City: State: _
Address: 3921 S US HWY 1
Zip Code: Fax:
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)
State or County License: CCC1330649
It value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
ME - W11001
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: 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 hrestrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions wich 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 OWN :pYour failu a to Record a Notice of CommencZb
may result in your paying twice for
improvem is toy r ropert . A N ice o Commencement musecord d and pos ed on the jobsite
before,t first ins ection. If in nd t obtain financing, consh ley�er or an orryey b fore
comme ns wo or recordi vo r, No ce of Commencement./ /
Z�7'
SiY,
ature of Owner/ Lessee/C tract as Agent for Owner
Si ture of Con tractor/Licen Hol r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5Jlr
COUNTY OF 5+ Lt CA:C,
The for oing instrument was acknowledged before me
The for oing instru ent was acknowledged before me
this day of , 20 (1Q by
this day of 20_& by
i
An GU QiW � I T� �
1
_a2d(--C.W
Name of person aking statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known _1,,-' OR Produced Identification
Type of Identification
Prod d PU�t FAITH MASON
Type of Identification rP MASON
Produced '��•• LP
o�;
YMMISSION#GG003939
MCO
COMMISSION#GG003939
EXPIRES: June20,2020
EXPIRES: June 20.2020
9
r'F `oQ�c BopdedThruBudget Notary 9enee Ao
oignature
OFF���` BorftThru9udgetNotarySer#Av
of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
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DATE
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COMPLETED
Rev. 8/2/17