Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 'S Building Permit Application Planning and Development Services Building and Code Regulation Division 1300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address: 706 ANITA STREET, FORT PIERCE Legal Description: 3 36 40 FROM NW COR HUNTS S/D RUN N S 170 FT, TH W 100 FT, TH N 170 FT TO POB Property Tax ID #: 3403-332-0007-000-5 Site Plan Name: Project Name: GOLDEN/REROOF FT, TH E 600 FT TO POB TH CONT E 100 FT, TH Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: II TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE (FL#10674.1) ROOF SYSTEM OVER 30# FELT UNDERLAYMENT (FL#12328.7). CONSTRUCTION INFORMATION: III 1:JHVAC U Gas Tank ❑Gas Piping Name: KVLEWHITE Shutters Windows/Doors I�IElectric ED Plumbing OSprinklere Generator Roof3/12 Roof pitch Total Sq. Ft of Construction: 2.500 5pn of First Floor: 2,372 Cost of Construction:$ 7,900 Utilities:Sewerl:]Septic Building Height: lSTORY OWNER/LESSEE: CONTRACTOR: Name AURAGOLDEN Name: KVLEWHITE Address: 708 ANITA ST Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FL Zip Code: 34882 Fax: Phone No. 772-489-2374 Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E -Mail: AURAGOLDEN08ELLSOUTH.NET Fill in fee simple Title Holder on next page I if different from the Owner listed above) E -Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC1325895 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _Not Applicable MORTGAGE COMPANY: Name: _ Applicable Address: STATE OF FLORIDA Address: COUNTY OF swcle City: Zip: Phone State: _ City: Zip: Phone: State:_ FEE SIMPLE TITLE HOLDER: Name: _ of Applicable BONDING COMPANY: Name: _ of Applicable Address: Address: Name of person making statement City: Personally Known xx Type of Identification City: myer Zip: Phone: .:: .......... zip: phone: Produced 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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure which is in confylict with any applicable Home Owners Association rules, bylaws or ancovenantsthat 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 yo roperty. A Notice of Commencement must be recorded and posted on the jobsite before the first 1 ction. f you intend to obtain financing, consult with lende r an attorney before commencm or rec in our Notice of Commencement. Rev. B/z/17 Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contra nse Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF swcle COUNTY OF sT wcle The forgoing instrument was acknowledge me The forgoing instrument was acknowledgeQ.lj2fore me this TTN day of NOVEMBER zD Irby this TTR day of NOVEMBER 201LY by KYLENAME 11111111 KYLE WHITE Name of person making state NE RF Name of person making statement Personally Known xx OR Prod Type of Identification — quo Iq �q'J% Personally Known xx Type of Identification OR Produced I myer cation .:: .......... Produced � o'-. Produced �J Sslgy ' SFF 936050 est ��•• _ = •='i° eamamN toe: •////1„+' (Signature of Notary Public- State of STN �Cty\y�P`` (Signature of Notary Public -State of H �A..�y •: Q ibnyyr!..•. Pp` Commission No. EE meoso (Seal) Commission No. rr saeaso NS�gO 1f1111ipiE1111H REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED