HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/14/18
Permit Number: TO 2 5 I
r44unoC) ahnl '}.9
A13 RECEIVED
03NNVOS
Building Permit Application FEB 9 9 9 IQ
Planning and Development Services
Building and Code Regulation Division ST. Lucle County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ X Residentialg
PERMIT APPLICATION FOR: Roof — (1f1" III
PROPOSED IMPROVEMENT LOCATION:
Address: 9501 GUMBO LIMBO LN JENSEN BEACH, FL 34957
Legal Description' xwr.R BfxnrixrnxuOFREwAxoEEcRUNS eaxExmxNWu MYMOFsx xu imm Errowwssccw+.rxsa ME MIN Eunsx,
mu.sen.rx xmxunaxw iesscE �usm Errowxrxumumuemow.rxxaorwsexixwuoeou ima�rrma
Property Tax ID #: 4505-110-0005-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL A NEW METAL ROOF
CONSTRUCTION INFORMATION:
itiona wor to e erformed under tispermit—check all apply:
11HVAC Gas Tank Gas Piping in _Shutters ❑ Windows/Doors
11Electric 0 Plumbing Sprinklers 11 Generator Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 900
Cost of Construction: $ 8200
S Ft. of First Floor: _
Utilities:Sewer ElSeptic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Tr Int Imp Trust Fund
Name: ANDREW GRIFFIS
_Name
Address:3900 Commanwealth Blvd
Company:_ALLAREA ROOFING — --
City: Tallahassee State: FL
Zip Code: 32399 Fax:
Phone No.772-370-9621
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:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: JENNIFER@,ALLAREAR00FING.COM
State or County License: CCC1330649
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
U'P = �® S f
CT'tX IVItO'R
kt
MORTGAGE COMPANY:
Name:
_ Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
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
WARNING OW R: Your failure to Record a Notice of Commenceme t may result in your paying twice for
improvem is to ur propey� y. A otice of Commencement must recor d and postedpn t�ie jobsite
before t first i pection.)y( ou t� to obtain financing, cons with I der or an.�trey t5efore
comme Ina w k or recoobbf ine our otce of Commencemen �� �� ��
ivwl
gnature of Owner/ Lesse n, actor as Agent for Owner
Oignature of Contractor/Lice der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5+ UACt-[.
COUNTY OF 5+ Lt O-A2e,
The fo,ryg"oing instrup{nent was acknowledged before me
The for oing instriment was acknowledged before me
this ha&runryl ..�20JE by
this7dayof Frej7rL a2 y_�,+20JX by
�-f�dlayoof
A nJ P.W �`�i�I-P9 ,s
�d(-eJA) lq (—t%
Name of person/making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known _) OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Ou
(Si�e of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
=o',n Pvk FAITH MASON
=osiw Pv"O FAITH MASON
Commission No. _ fSW40MMISSIONOGG00393
Commission No. M`4W4FSION#GG003939
--E%PIRES:June20,2020-
__-_710En
---`-._"'- -' — - ur Qe` - EXPIRES: June 20,2020- - --
, BOMedThmaudpet Notary SeMm,
�h. osr�o,� Banded Tluu9ud98t NotarySeMaee
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE VIE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
CODATE
MPLETED
Rev.8/2/17