HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/26/18 Permit Number:
SCANNED
By
St Lude-Coun
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
QL 6(n`75
FEB 2 7 2018 -
ST. Lucie Cownt:y, Permitting
Commercial Residential X
PERMIT APPLICATION FOR: Roof —
PRO,POSED� I;M PrRQVEMEN�TLOCATION ,<' h °'
Address: 5331 MONTEGO CIR FT PIERCE, FL 34949 '
Legal Description: OCEAN RESORTS COOPERATIVE SITE 363 (SHARE # 183) (OR 3287-693)
Property Tax ID #: 1410-502-0363-000-5 Lot,No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DET'AILtiblk- E�SCRIPTION�OF,WORK
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL A NEW METAL ROOF �,NFO:BICE H- OWIV
CONST'RUCTION INFORMATION
t r:i 'f N--d'ygr :fit t"
'
Additional work to be ertormed under this permit —check
all
app y:
❑HVAC
Gas Tank
Gas Piping
Shutters
❑ Windows/Doors
Electric ElPlumbing
Sprinklers
Generator
Roof 3�12 Roof pitch
Total Sq. Ft of Construction: 1100
S Ft. of First Floor:
Cost of Construction: $ 8350
Utilities:
Sewer Septic
Building Height: 1 STORY
OWNER/LESSEE �! ; -
aCONTRA'CTOR� ` R``' `{ 3
Name JUDITH & DAVID SMOLAREK
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. 716-397-8939
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
If value of construction is $2500 or more,, a RECORDED Notice of Commencement is required.
PV _I ;INS L I
`.
MOM"
-1
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
WARNING TO OWNER: Your failure to Record a Notice of Commenceme may result in your paying twice for
improveme to yo property. A Notice o Commencement must record and posted on the jobsite
before th rst ins ction. If y in nd > obtain financing, cons ith le er or
commen I wor or recordi o r N Ice of Commencement !n�efore
Rev. 8/2/17
r�
Si ature of Owner/ Lessee/ rac r as Agent for Owner
ignature of Contractor/Lice der
STATE OF FLORIDA -
STATE OF FLORIDA
COUNTY OF S-4~
COUNTY OF S+ �.UIC.tf,
The for oing instrument was acknowledged before me
this day of , by
The forgoing instrument was acknowledged before me
this �(, day of 20 I� by
�2'0�
Name of person akin statement
Name of person making statement
Personally Knownp� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ature of Notary Public- State of Florida)
(Signature of Nota Public- State of Florida )
v`°g: FAITH MASON
OK�`Y PGa'j FAITH MASON
Commission No. -. * Mf/$tRtI�IISSION#GG003939
Commission No. M1iiSSION#GG003939
�oe
EXPIRES: June 20, 2020
*
EXPIRES: June 20, 2020
, �"�F
Bonded Tlw Budget Notary Services
F�oQ`� Bonded inm Budget Notary Services
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