HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r,
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 Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2209 JO HAYWOOD DR, FORT PIERCE
Legal Description: CITRUS HEIGHTS S/D LOT 21
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front
1432-700-0024-000-3
DAVIS/REROOF
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
TEAR OFF SHINGLE. RE -NAIL DECK. INSTALL NEW OWENS CORNING SHINGLE ROOF
SYSTEM OVER 30# FELT UNDERLAYMENT. (30SQ / 6/12 PITCH)
HVAC Gas Tank
11 Electric ❑ Plumbing
Total Sq. Ft of Construction: 3,000
Cost of Construction: $ 7,200.00
unser tnis permit — cneCk all apply:
DGas Piping M
Shutters Windows/Doors
Sprinklers Generator❑ Roof
S Ft. of First Floor: 1,254
Utilities:[]Sewer Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name DOROTHY DAVIS
Name: KYLE WHITE
Address: 2209 J HAYWOOD DR
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 772-672-1427
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E -Mail: DOROTHYDAVIS381 @GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC 1325895
n value or consiruction is >c5uu or more, a KtcL1Ku1:u Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 pr rty. A Notice of Commencement must be recorded and posted on the jobsite
before the first ' i f you intend to obtain financing, consult with II or an attorney before
commencin ork Vg your Notice of Commencement. 1/ n
_ Signatu`re of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST LUCIE
The for ing instrument was acl owledged before me
this 71day of 20 1':J by
KYLE WHITE
(Name of person acknowledging )
(Signature of Notary Public- State of Flori ,NIi° �- l -Lfy
Personally Known x OR Produced Id�ii i catiop av
Type of Identification Produced
Commission No. FF936050 _Sgal) #FF 936050
"'� 99 • ���tNo rv1SeN�''c��Q�
Revised 07/15/2014
ST0-
iP010
Signature of Contractor/License
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgging instrumen was acknowledged before me
this day of /1, 20 by
KYLE WHITE
(Name of person acknowledging )
(S nature of Notary Public- tate of Florida 7 "tSS10 i
i F
/VF���.;�
R.GO is A� •• 's
Personally Known X OR Produced Identification?0-9� •t
Type of Identification Produced `` v �•� '
#FF 936050
Commission No. FF936050
ENorary ���.�\p
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved.
Site Address:
Parcel ID:
Account #:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Dorothy M Davis
2209 Jo Haywood Dr
Fort Pierce, FL 34946
Legal Description
CITRUS HEIGHTS S/D LOT 21 (OR 1016-1674)
Current Values
Just/Market Value: $83,800
Assessed Value: $72,841
Exemptions: $47,841
Taxable Value: $25,000
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF 12
Property Identification
2209 JO HAYWOOD DR
1432-700-0024-000-3
137789
14/32S
0100
RS -4
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,254
Gross Area (SF): 1,984
Land Size (acres): 0.25
Land Size (SF): 10,875
This information is believed to be correct at this time but it is subject to change and is not warranted.
C Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved.