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HomeMy WebLinkAboutCOUTS - APP ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 xx PERMIT APPLICATION FOR: Roof Address: 5639 TRAVELERS WAY, FORT PIERCE Legal Description: PALM GROVE S/D BLK A LOT 11 Property Tax ID#: 3410-503-0022-000-2 Lot No. Site Plan Name: Block No. Project Name: COUTS/REROOF Setbacks Front Back: Right Side: Left Side: �ETI�U OESCRIPTION Q�WQRK f TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL NEW OWENS CORNING OAKRIDGE (FL#10674.1) SHINGLE ROOF SYSTEM OVER OWENS CORNING SELF-ADHERED UNDERLAYMENT (FL#9777.1). OS� TI� NP� (VllltflON` ACIClitional worK to De pertormed under t is permit—coc all apply: �HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof 4/12 Roof pitch Total Sq. Ft of Construction: 2.300 S . Ft. of First Floor: 1,792 Cost of Construction: $ 8,400 Utilities:'nSewer ❑Septic Building Height: 1 STORY �4WNER/LESSEE ' CC1iVT�AO'('OR - Name ROBERT COUTS Name KYLE WHITE Address: 380 BEDFORD DR Company: J.A.TAYLOR ROOFING INC City: WESTLAND State: MI Address: 302 MELTON DRIVE Zip Code: 48185 Fax: City: FORT PIERCE State:FL Phone No.734-812-3462 Zip Code: 34982 Fax: 772-468-8397 E-Mail: LCOUTS9477@WOWWAY.COM Phone No. 772-466-4040 Fill in fee simple Title Holder on next page( if different E-Mail: NADINE@JATAYLORROOFING.COM from the Owner listed above) State or County License: CCC1325895 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. smR�t �nrvr,�r corvrrtr� � ru ua ►nton�rior� _:. .. . , DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: _Lot Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ of Applicable BONDING COMPANY: _ of Applicable Name: 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 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 a attorney before commencing wo r ecorcling your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTYOF STwCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge/(J�hefore me this ]TH day of SEPTEMBER 20 jppp by this 17H day of SEPTEMBER 20 IU by KYLE WHITE KYLE WHITE Name of person making statement Name of person making statement Personally Known xx OR Produced IdetTtific; iti0n Personally Known xx OR Produced IdentificatIcy ' Type of Identification ' Type of Identification Produced - Produced r (Signature of Notary Public-State of Florida) c (Si ature of Notary Public-State of Florida) G, Commission No. FF936050 Commission No. FF sssoso (�'gglj REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 5639 TRAVELERS WAY Parcel ID: 3410-503-0022-000-2 Account#: 133141 Map ID: 34/10A Use Type: 0100 Zoning: PUD City/County: Saint Lucie County Ownership Robert W Couts 380 Bedford En F Westland,MI 48185 � zq� li5 3 Legal Description PALM GROVE S/D BLK A LOT 11(0.12 AC)(OR 3472-844) Current Values Just/Market Value: $I00,100 --� Assessed Value: $92,081 Exemptions: $0 Taxable Value: $92,081 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel:Download PDT 12 Total Areas Finished/Under Air(SF): 1,135 Gross Area(SF): 1,792 Land Size(acres): 0.12 Land Size(SF): 5,227.2 Building Information (1 of 1) Finished Area: 1,135 SF Gross Total Area:1,792 SF Exterior Data View: Roof Cover:Dim Shingle Roof Structure:Hip Building Type:HC Year Built: 1997 Frame: Grade:C Effective Year: 1997 Primary Wall:CB Stucco Story Height: 1 Story No.Units: t Secondary Walt: Interior Data Bedrooms:2 Electric:MAXIMUM Primary Int Wall: Full Baths:2 Heat Type:FrcdHotAir Avg Hgt/Floor:0 Half Baths:0 Heat Fuel*ELEC Primary Floors:Carpet A/C%: 100% Heated%: 100% Sprinkled%:o% This information is believed to be correct at this time but it is subject to change and is not warranted. 0 Copyright 2018 Saint Lucie County Property Appraiser.All rights reserved.