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HomeMy WebLinkAboutBuilding Permit AffidavitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C0 V, . E., . Permit Number: 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: 4902 MATANZAS AVE Legal Description: Property Tax ID #: Site Plan Name: Project Name: CUNNINGHAM / RE -ROOF HARMONY HEIGHTS ADDN BLK C LOTS 4, 5 AND 6 1431-701-0024-000-3 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Lot No._ Block No. TEAR OFF SHINGLES. RE -NAIL DECK. INSTALL NEW OWENS CORNING OAKRIDGE ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. (40SQ / 5/12 PITCH) Additional work to be nertormed under this permit — check all Name YOLANDA CUNNINGHAM apply: ❑ HVAC Gas Tank F]Gas Piping City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 Shutters ❑ Windows/Doors Electric ❑ Plumbing Sprinklers Generator W1 Roof Total Sq. Ft of Construction: 4,000 SFt. of First Floor: 2,687 Cost of Construction: $ 9,800 Utilities: Sewer E]Septic Building Height: 1 STORY OWNER/LESSEE: CONTRACTOR: Name YOLANDA CUNNINGHAM Name: KYLE WHITE Address: 4902 MATANZAS AVE Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FL Zip Code: 34946 Fax: Phone No. 772-468-7033 Address: 302 MELTON DR City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E -Mail: TJSRLAWYER@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 IT vaiue or construction is >csuu or more, a KLCUKDLD Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'; DESIGNER/ENGINEER: X Not Applicable Name: MORTGAGE COMPANY: X Not Applicable Name: Address: 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 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 commencing wg�'r ilbcording your Notice of Commencement. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF ST LUCIE The forgping instru nr was a knowledged before me this � �-1 day of �G 20by KYLE WHITE (Name of person acknowledging ) (Signature of Notary Public- State of Floridot)i1111114� R6, Personally Personally Known X OR Produced Ide'htifrcafroW Type of Identification Produced T `� Commission No. FF 936050 : (Seal) r (s�uG Revised 07/15/2014 ria.��g rc sTPj iii/!liS9,iilea re of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE The for oing instrum t was ac owledged before me this day of - C 1 20 by KYLE WHITE (Name of person acknowledging ) ZAJ& (Si nature of Notary Pub ic- State of Florida ) Personally Known x OR Produced i 0,i'tifaca'ti,(r:F�11" Type of Identification Produced Commission No. FF936050 #,FF 53600 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. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Yolanda M Cunningham 4902 Matanzas AVE Fort Pierce, FL 34946 Legal Description HARMONY HEIGHTS ADDN BLK C LOTS 4,5 AND 6 (OR 3785- 1403) Current Values Just/Market Value: $97,700 Assessed Value: $97,700 Exemptions: $50,000 Taxable Value: $47,700 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 4902 MATANZAS AVE 1431-701-0024-000-3 10384 14/31S 0100 RS -4 Saint Lucie County Total Areas Finished/Under Air (SF): 1,903 Gross Area (SF): 2,687 Land Size (acres): 0.63 Land Size (SF): 27,414 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved.