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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL A Ip_LICABLBLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 2 Date:'18 r'/��%$ ��f�� Permit Number:R RECEIVED 'C yl - , Building Permit ApplicatioERAgeWgji'�,' L 201� Plann g and Development Services euildi Ig and Code Regulation Division ng Department 2300 f irginia Avenue, Fort Pierce FL 34982 County, I - Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Roof Ic PROPOSED IMPROVEMENT LOCATION: Addn Legal Prope Site PI Projec SetbE 9519 SHADOW LN FT PIERCE, FL 34951 . MONTE CARLO COUNTRY CLUB -UNIT TWO- LOT 221 (OR 1377-2458: 1655-2902) y Tax ID #: 1334-502-0102-000-5 i Name: Name: cs Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REMOVE EXISTING TILE ROOF AND INSTALL NEW TILE ROOF Lot No. 221 Block No. CONSTRUCTION INFORMATION: Add iti ❑ Dnal work to be nerformed under tis permit —check VAC Gas Tank Gas Piping all M apply: Shutters ❑Windows/Doors _ ❑_ lectric ❑ Plumbing []Sprinklers❑ Generator W1 Roof 5�12 Roof pitch Total Sq. Ft of Construction: 6300 S . Ft. of First Floor: Cost of Construction: $ 43900 Utilities. _ Sewer ❑ Septic Building Height: 10 OWI� ER/LESSEE: CONTRACTOR: NameaMARION AddreLls: City Zip C Phon IINo. E-Mail: I� Fill in from DAUM Name: ANDREW GRIFFIS Company: ALL AREA ROOFING Address: 3921 S US HWY 1 City: FT PIERCE State. FL Zip Code: 34982 Fax: 772-464-6600 Phone No. 772-464-6800 E-Mail: JENNIFER ALLAREAROOFINGFTP.COM State or County License: CCC1330649 SAME AS ABOVE State: — ode: Fax: 772-468-3444 fee simple Title Holder on next page (if different the Owner listed above) If valuolof construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGII' ER/ENGINEER: Nai Addrell s: City: Zip: I Phone_ FEE SI PLE TITLE HOLDER: Name Addre�s: City: Zip: Phone:_ , Not Applicable State: Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone:_ OWNE / CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. certify hat no work or installation has commenced prior to the issuance of a permit. St. Lucie ounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is h 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 consi ration 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. t The4ollo ing building permit applications are exempt from undergoing a full concurrency review: room additions, I accesso structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARN �G TNER: Your failure to Record a Notice of Commencement may result in your paying twice for improv�emFoe your property. A Notice of Commencement must b ecorded and posted on the jobsite before thet inspXtion. If youpendto obtain financing, consu ith len r or an attorney beforernmm n workAr rPrordii w(idur icPifif Commencement. A at !re of Owner/ Lessee/Co a o gent for Owner nature of Contractor/License r STAT OF FLORIDA STATE OF FLORIDA COUA TY OF COUNTY OF S+ L(,U A:C_, The fo going instrument was acknowledged before me The forgoing instrument was acknowledged before me �Tidy this i day of - , 20J by this � day of 20J2 by n Name of person akin statement p7 Name of person making statement Perso Ily Known OR Produced Identification Personally Known _1,-*"^ OR Produced Identification Type c Identification Type of Identification , Produced Produced I I (Signs I ure of Notary Public- State of Florida) (Signature of NotaryPublic- State of Florida) Comm �O��,Y PVel�c FAITH MASON sion No. MAORDISSION # GG 003939 �o4t'%y puts FAITH MASON Commission No. MYCOMMIAWhI13003939 •RIO * n� \ae EXPIRES: June 20, 2020 a EXPIFfES;June 20,202b �OFFT4 BondodThru9udgotNotaryseroies �IFOFsoridod7hrd9Ndg®tN61ity&Nloa• REVI iWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEI VED DATE COM ,LETED , Rev. 8/V17