HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONPam -
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f'''� //1��
Date: 2/26/18 umber:RQ) 1 V
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof
FEB 2 7 2018
LST. Lucie County, Permitting
Residential x
<PROPOSED IMPROVEMENT LOCATION: III
Address: 9715 GUMBO LIMBO LN JENSEN BEACH, FL 34957
Legal Description: 43741T TPA OF N1M OF GOWLOT2WOFRRAND5W1/4 OF SW 114 LYGNOF WLYEKT OF SN OF JOESVEC A PROPB (SAVAMAH)OBK221 PGM(3)(OR 1191-2326)
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Property Tax ID #: 4504-322-0001-001-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING SHINGLE ROOF AND INSTALL NEW METAL ROOF
CONSTRUCTION INFORMATION:
L.=JHVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 2100
Cost of Construction: $ 16000
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Piping
_Shutters
apply:
❑Windows/Doors
nklers
1:1Generator
ZRoof
4/12 Roof pitch
S Ft. of First Floor: _
Utilities:cn Sewer E Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR
Name Tr Int Imp Trust Fund
Name: ANDREW GRIFFIS
Address3900 Commonwealth Blvd _
_Company: ALL AREA 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: 772464-6600
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@ALLAREAROOFING.COM
State or County License: CCC1330649
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 TO NER: our failure to Record a Notice of CommenceFe4�/,ayreIt in your pays twit r
improvemen to you roperty. Not" a of mencement museand p ed the' bsite
before the ' st insp tion. If y inte d to tain financing, consuor an ttor ey b ore
comment' z wor r recordi you No . e of Commencement.
S nature of Owner/ Lessee/Co cto s Agent for Owner
Si nature of Contractor/Lice - old
STATE OF FLORIDA
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STATE OF FLORIDAA C�
COUNTY OF 3r_
COUNTY OF _
The forgoing instr,�uTent was acknowledged before me
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The forgoing instr en t was acknowledged before me
A by
this��-9 day of I�btUart44
this day of 20$"by
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Name of person akin statement
Name of person making statement
�_�
Personally Known_ / OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
' nature of Notary Public- State of Florida I
(Signature of Ilotary Public- State of Florida )
oAtAy vnk FAPiH MASON 33o0 y.°eay FAITH MASON
Comm WCOMMISSION#GG pv eadNCOMMISSION#GGO
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N� a D(PIRES:June 20, 2o..Y.� a EXPIRES: June 20,202
=otNiYPne`n f F MASON
9S9ommission No. C659�,��j
s w MYC6MMIS$ION#GG 003939
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REVIEWS FRONT ZONING SUPERVISOR
PLANS EGETATION SEA TURTLE MANGROVE
- — COUNTER REVIEW REVIEW --
REV[ -REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Rev.B/2/17