HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/12/19 Permit Number:
� � RECE/pE0
Building Permit Application Ffe I¢, 2019
Planning and Code Regulation Division and Development Services Petmitti Building Vginia Avenue, Fort Piece FL 34982 St. tin
a County ent
1300
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:FLAT REROOF SCABNrNED
PROPOSED INPROVEMENT LOCATION: St. Lucie Countv
Address: 6014 BAMBOO DR FT PIERCE, FL 34982
Property Tax I D #: 3402-610-0509-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING MODIFIED ROOF AND INSTALL NEW MODIFIED ROOF
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 1100
Cost of Construction: $ 6600
_ Sprinklers
_ Generator
Sq. Ft. of First Floor:
Lot No. 13&N 112 OF 14
Block No. 87
Windows/Doors
Y Roof •25/12 Pitch
Utilities: _Sewer _Septic Building Height: I STORY
OWNER/LESSEE:
CONTRACTOR:
Name DANIEL WARD
Name: ANDREW GRIFFIS
Address: SAME AS ABOVE
Company: ALL AREA ROOFING & CONSTRUCTION
City: State: _
Zip Code: Fax:
Phone No.301-885-8591
Address: 3921 S US HWY 1
City: FT PIERCE State: FL
Zip Code: 34982 Fax: 772464-6600
Phone No 772464-6800
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail FAITH@ALLAREAROOFINGFTP.COM
State or County License CCC1330649
1T value of construction is SZs00 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 I BONDING COMPANY: _Not Applicable
Address: Address:
City: City:_
Zip: Phone: Zip: _
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 Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencini?iwo,Fk-or recording vour Notice of Commencement.
gnature of Owner/ Lessee/ ntra for as Agent for Owner
i ture of Contract icen Hold r
STATE OF FLORIDA �
COUNTY � Lkf- L
STATE OF FLORIDA
OF I
COUNTY OF(_JlPA P
The far oing instrument was acknowledged before me
The forgoing instr ent was acknowledged before me
th/is� day of � 20la by
20LI by
this hQ day of ���6LCql1
Or; 'S
nn,
t'LC1l7�ref C�
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known —I/— OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
n kure of Notary Public -State of Florida j
gnature of Notary Public -State of Florida j
2o�ptcv AU�6 FAITHMASON
=opA A;e(i� FAITH MASON
Commission No. EIY 0SION#GG003939
Commission No. * MYCO40SOIiBNOGG003939
a� EXPIRES: June 20.2020
EXPIRES: June 20, 2020
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SUPERVISOR
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DATE
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DATE
COMPLETED
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