HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I ,,
Date: 4/JV18 SCANNE9 Permit Number:
BY ECE VI E�
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Building Permit Application PR 0 6 2018
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Planning and Development Services Lucie y, Permitting
Building and Code Regulation Division n
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 COrnmercial Residential X
PERMIT APPLICATION FOR: Roof — 31I.
,14t/�_101
PROPOSED IMPROVEMENT LOCATION:
Address: 2407 TAMARIND DR FT PIERCE, FL 34949 I
Legal Description: FORT PIERCE SHORES -UNIT 1- BLK12 LOT 26 (OR 2897-81
1
Property Tax ID #: 1436-601-0046-000-1 Lot No. 26
Site Plan Name: Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I
REMOVE EXISTING SHINGLE/FLAT ROOF AND INSTALL NEW SHINGLE/FLAT ROOF
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all apply:
�HVAC Gas Tank In
❑Gas Piping Shutters Windows/Doors
Electric E] Plumbing Sprinklers Generator W1 Roof 2/12 Roof pitch
Total Sq: Ft of Construction: 3600
Cost of Construction: $ 14900
Sq. Ft. of First Floor: _
Utilities: 0 Sewer OSeptic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name RICHARD MADDEN
Name: ANDREW GRIFFIS
Address: 8036 LAKESIDE QUARRY DR
Company: ALL AREA ROOFING & CONSTRUCTION, INC
Address: 3921 S US HWY 1
City: JEFFERSONVILLE State: IN
Zip Code: 41730 Fax:
City: FT PIERCE State: FL
Phone No. 502-216-5242
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.
DESIGNER/ENGINEER:
Name:
Addre!
City: _
Zip: _
Phone
Not Applicable, I MORTGAGE COMPANY: _ Not Applicable
Name:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: .I
Address: i
City:
Zip: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
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
i
WARNING T WNER: Your failure to Record a Notice of CommencZorded
ay result in your paying twice for
improveme to yo r property. otice of Com encement muand posted on the jobsite
before th rst ins ectlon. Ifyo tend o obtai financing, consle n r or an att ey for
commen g wor or recording ur tice of ommencement.
Z", /','_
Si ature of Owner/ Lessee/Contrac r as A nt for OwneIr
Si ature of Contractor/License r \
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 54-
COUNTY OF S+ LueA:C^
The forgoing instrument was acknowledged before me
The forgoing instru ent was acknowledged efore me
this _ day of i 1 19 by
this � day of 20by`
. �20
An �(2W �r I `� 1�
}�rj.(-2.@.c� C��l'l ors
Name of person aking statement
Name of person making statement
n Personally Know�7 OR Produced Identification
Personally Known _1,1"^ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Si ure of Notary Public- State of Florida)
tgnature of Notary Public- State of Florida )
ptp'AY Po, FAITH MASON
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Commission No. A * MY&IMASSION#GG0Q3939
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20 •,.., e,� F'JTH MASON
Commission No. MYlro�11SION#GG003939
N, ffAX EXPIRES: June 20,2020
Bonded ThruBudget Notary Servoee
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NEXPIRES: June 20,2020
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OFFI o�'��� BandedThruBudgetAolaryServcec
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17