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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