HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I,NFQI MUST BE:COMPLETED'FOR APPLICATION TO BE ACCEPTED
Date: I L. ..opy 171, '1 .. i ,i I' _ . ... .I. .. Permit Number: 71 ) • �07
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,I i Building:Peirrn-WAOp6 :cation i I
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Planning and DeVelopmentServicesl
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Building and Code Regulation,Division
! 2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553, Fax: (,772)4621578 commercial I i Residential X
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' PERMIT APPLICATION FOR: Roof
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PROPOSED IMPR0VEMENT1OCATIO•N = t
Address: 3119 HAMMOND ROAD, FORTIPIER6E
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Legal Description:' 30 34 40 N:1'/2.OF.NE 1/4-OF SW 1/4 LESS N415 F4 AN'D�4ESS S 111.5.FT OF,EA 019.66 FT AND
LESS RD R/W(4.20 AC).
Property Tax ID#;, 1430-311=0010-000-2 Lot No.
Site Plan Name ""• !.;. i ,��
n i ': . . . ..... Block No.
Project Name: !' I ;'! 1
Setbacks Fronts 1 Back: ! ; Right!Side: I: I,,! !: L ft'Side:
DETAILED DESCRIPTION`OF WORK
TEAR OFF SHINGLE; RE-NAIL DECK,: INSTALL NEW OWENS' ORNING-OAKRIDGE SHINGLE
ROOF SYSTEMIOVER!OWENS CORNING WEATHERLOtk d! ON.D.ERLAYMENT':(5/1.2 PITCH).
-CQNSTRUCTION`INFORM ATION '
Additional work to :e nertormed. under t Is.permit-c ec ,a , app„y: .,
®HVAC _Gas Tank FIGas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers I_1 Generator W1 Roof
Total Sq. Ft of Construction: 3000 S . Ft.of First Floor: 1,318
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Cost of Construction:$ 6,500 Utilities:�Sewer OSeptic Building Height: 1 STORY
01NNER/LESS`EE:'" ;. . CONTRACTOR:
Name BETTY S LOTT Name: KYLE WHITE
Address: 3119 HAMMOND RD Company: J.A.TAYLOR ROOFING INC,
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34952 Fax: City: FORT PIERCE State:FL
Phone No. 772-468-6824 Zip Code: 34982 Fax: 772-468-8397
E-Mail: Phone No. 772-466-4040
Fill in fee simple Title Holder on next page(if different E-Mail: NADINE@JATAYLORROOFING.COM
%I from the Owner listed above) State or County License: CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SU2P,,,LEIVIEN`TAI�,,,,,,,,0NST
IE I LAIN INFOR`I�IATIpN`"I"i",
DESIGNER/ENGINEER. I 'Not Applicab • R7Gi4 E�ICOMOANY "X "I IVot:Applicable
Name: ,. .. . . .. . ... . .. . ... . .. . ..Name:
Address: Address:
City: State: City: State:
Zip:. - Pho:ne,: Z.p:.. .` .. .. ii:' .Phone: j
FEE SIMPLE TITLE HOLDER: x'. Not Applicable ka6NDIN•G`COMPANY: X_Not Applicable
Name:
Address: Address:
City: I' 'I: ".I I ..: il:I rcft�,
Zip: la, Phone: :' : : . : i . :: ;.Zip r.:; Phone:: r
I certifythat no work or installation has,commenced ,! I ..
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 thils�requested'permit,l'do hereby agree that 1'will in all,merespeictirespects;,'perforrrf the work
in accordance witl'the'approved plans,}he Florida Building Codes and St. Lucie Clounty Amendnts:
The following,building permitlapplicationsore exempt from undergoing;a,full concurrency review:room additions,
accessory strugtures,swimming pools,fences;walls, screen rpo_Ins:and accessory uses;to another non-residential use
ns, .. .
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:mu'stibe reco'rd'ed and posted on the jobsite
before the first ' ect• . If you intend to obtain financing, consult with le ora ttorney before
commen ork or cordin our Noticellof-Commencement.
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_Signature of Owner/Leseege
s /Ant : Sign ture of Corttractor/,License!Holder.,l
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STATE OF FLORIDd. . �T ►TE!OE FL® DA
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1 ... RI . ._ ....
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The
this f oda Ioftr,u el t was ack owle20� l� re me. .. .. . . this fe:. :. str4 .. _...
�' ing instr nt was acknowledged before me
g g g : ,
y y day..Of... .�Vefl� 20.1 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
Akh
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(Si ature of Notary Public- tate of Flo rid&a%J%1iilIntillrj (Signature of Notary Public-State of Florida)
\N ���NE MANRFr�f,. ��o►veno+aro
Personally Known :X OR Produ`gI :: Personally Known X OR Produce! k�dis
Type of Identification Produced � �oer 1ST • Type of Identification Produced `�` Cho . •�` '�
z _� :V fiber FS ,o�•� ..f
Commission No. FF936oso a*:Seal) °� ;* Commission No. FF 936050 — :' aI) `��i9t<`•
tFF 936050 _*
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Revised 07/15/2014'- B.n�ryhNe�o�\
��onoin�oe� Noy s�,.• �, .
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE 'MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS I; ; : ,
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