HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/018 Permit Number: 0 ��
n RECEIVED
Buikj� it Application lication APR 0 6 2018
Planning and Development Services
Q��6J�
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 - me
PROPOSED IMPROVEMENT LOCATION:
Address: 5510 SAN DIEGO AVE FT PIERCE, FL 34946
Legal Description: HARMONY ESTATES BLKA I
TH W 160 FT TO POB BEING A PARCEL
Property Tax ID #: 1431-702-0011-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
SW COR OF LOT 9 BLK A RUN E 152 FT FOR POB, TH RUN N 135 FT, TH E 160FT, TH S 135 FT,
LAND LYG IN S 65 FT OF LOT 8 AND ALL LOT 9 (9D) (OR 4023-132)
Lot No. 840FLOTBALLOFLOT9
Block No. A
Right Side: Left Side:
REMOVE EXISTING SHINGLE ROOF AND INSTALL NEW METAL ROOF
CONSTRUCTION INFORMATION:
Additional work to e nertormed under this
11HVAC Gas Tank
permit —check
LIGas Piping
all
apply:
In _ Shutters
Q Windows/Doors
11 Electric 0 Plumbing
Sprinklers
E Generator
W1 Roof Roof pitch
Total Sq. Ft of Construction: 2750
S Ft. of First Floor:
Cost of Construction: $ 14850
Utilities:cn
i
Sewer
Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name WELBY & TARA BLACK
Name: ANDREW GRIFFIS
Company: ALL AREA ROOFING & CONSTRUCTION, INC
Address: SAME AS ABOVE
City: ! State: _
Address: 3921 S US HWY 1
Zip Code: Fax:
City: FT PIERCE State: FL
Phone No. 772-985-6702
Zip Code: 34982 Fax: 772-464-6600
Phone No. 772-464-6800
E-Mail:
Fill in fee simple Title Holder on next pagel(if different
E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above)
State or County License: CCC1330649
It value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
Mi
011"y01 I O%
IRS
N.� �. lMq dt '0%
I'M
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address: I
Address:
City: State:
City:
State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:. —No Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
I
Zip: Phone:
'
OWNER/ CONTRACTOR AFFIDVIT: App
certify that no work or installation has comn
n is hereby made to obtain a permit to do the work and installation as indicated.
i prior to the issuance of a permit.
St. Lucie County makes no representation that lis 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 requ
in accordance with the approved plans, the
permit, I do hereby agree that I will, in all respects, perform the work
a 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, i'Valls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO WNER: Your failure to I
im 3rovemen to your operty. A Not
before the t inspec on. If you i en
commen ' work opfrecordii your
ecord a Notice of Commencement may result in your paying twice for
ce of Commencement must b recorded and posted on the jobsite
i too tain financing, consu ith le der or an torney bef e
itice f Commencement.
l
Signature of Owner/ Lessee/Con-tra 5w4s
nt for Owner
So ature of Contractor/License er
STATE OF'FLORIDA
STATE OF FLORIDA
COUNTY OF S-- W6t::c
COUNTY OF
The forgoing instrument was acknowledged before
this day of�(`I 20 1g
me
by
The forgoing instrument was acknowledged before me
this day of �(i , 20� by
Name of person aking statement
Name of person making statement
Personally Known �� OR Produced Identification
Personally Known _1,-**^ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
r
k
Jreof
i na ure of Notary Public- State of Florida)
Notary Public- State of Florida)
�o�a�+� FAITH MASON
Commission No. /SeWOOMMISSION#GG00393
1e
EXPIRES: June 20, 2020
��t ;P�e"� FAITH MASON
Commission No. •'• QSQ'J
,t * Yutt'IOMMISSION # GG 0039
aQ
101 o19 Bonded Thru Budget Notary Servioec
ov t
c� EXPIRES: June 20, 2020
Bonded Thor Budget Notary
op t+�o�� Servi
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Rev. 8/2/17