HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Date: 3/1/18 Permit Number: ! D p
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BultOng 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 Commercial Residential X
PERMIT APPLICATION FOR: Roof — '
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Address: 656 SE HIDDEN RIVER DR PORT ST LUCIE, FL 34983
Legal Description: HIDDEN RIVER ESTATES BLK 2 LOT 8(OR 1168-2820; 4013-2669)
Property Tax ID #: 3427-701-0032-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side: Left Side:
TEAR OFF EXISTING TILE ROOF AND INSTALL A NEW METAL ROOF
Lot No. 8
Block No. 2
Additional worK to be ertormed under this permit — check all apply:
11HVAC _ Gas Tank []Gas Piping I _ Shutters Owindows/Doors
11 Electric 0 Plumbing ❑ Sprinklers E] Generator Roof 6�12 Roof pitch
Total Sq. Ft of Construction: 460.0 �Cjn
of First Floor:
Cost of Construction: $ 28000 Utilitie:Sewer Septic Building Height: 1 STORY
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OWgNER/LESS'EE
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CONTRA 1`OR:
Name ALBERT SCHWARTZ
Name: ANDREWGRIFFIS
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. 772-342-5733
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 vawe oT construction is >zsuu or more, a KtcUKutu Notice of commencement is required._
DESIGNER/ENGINEER: _ Not Ap
Name:_
Address:
City:
Zip:
State,:
Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
State:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application lis 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.
i
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 T OWN :Your fail �e to Record a Notice of Commenceme may result in your paying twice for
improvem s to y r proper . A tic f C'ommencement must recor ed and p ed nth jobsite
before th rst in ection. If u i ten o obtain financing, cons with I der or a ttoyr�ey b fore
comme c' g wo or recor nR y ur tice of, Commencement //
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S nature of Owner/ Lessee/CoKntraV& as Agent for Owner
%nature of Contractor/LicenAtToger
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5-4- lA rn&l
COUNTY OF
The forgoing instrument was acknowledged before me,
The forgoing instrLLraent was acknowledged before me
IQr�',
this I day of 01 a rCh
, 20)'9 by
this I day of 1T 20J ? by
Name of person aking statement
Personally Known OR Produced Identification
Name of person making statement
Personally Known iZ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State
of Florida)
(Signature of Notary Public- State of Florida )
aY a�Qr, ITH MASON
Commission No. �( ��
M ISSION # GO 003939
tY
%;:.?uQri r ITH MASON
Commission No. _ '' I
M COMMISSION
*
* # GO 003939
oc EXPIRES: June 20, 2020
oe EXPIRES: June 20, 2020
BondedThruBudget Notary 9emk4a
Bonded ThruBudget Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17