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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 xx Residential PERMIT APPLICATION FOR: Roof Pib ,ROVEM Address: 5810 PAPAYA DRIVE, FORT PIERCE Legal Description: INDIAN RIVER ESTATES - UNIT 09 - BLK 79 LOT 22 Property Tax ID #: 3402-610-0287-000-1 Site Plan Name: Project Name: JERRY HENNIS CONSTRUCTION / REROOF Setbacks Front Back: DETAILED DESCRIPTION OF Right Side: Left Side: Lot No. Block No. TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE (FL#10674.1) ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G (FL#9777.1) SELF - ADHERED UNDERLAYMENT. I�._... �..,....�.. Va un, —uia Rcn dppiy. L (HVAC Gas Tank [_]Gas Piping _Shutters Windows/Doors Electric _Plumbing Sprinklers Generator 21 Roof 6/12 Roof pitch Total Sq. Ft of Construction: 2,300 'In FtFt.I of First Floor: 1,293 Cost of Construction: $ 7,800 Utilities: —Sewer ❑Septic Building Height: 1 STORY Name GERARDHENNIS Address: 5810 PAPAYA DR City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772-528-9683 E -Mail: 7801 GERARD@BELLSOUTH.NET Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: KYLE WHITE Company: JA. TAYLOR ROOFING INC Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-4661040 E -Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC1325895 of construction is $2500 or more, a RECORDED Notice of Commencement "`�. COCENTY 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 xx Residential PERMIT APPLICATION FOR: Roof Pib ,ROVEM Address: 5810 PAPAYA DRIVE, FORT PIERCE Legal Description: INDIAN RIVER ESTATES - UNIT 09 - BLK 79 LOT 22 Property Tax ID #: 3402-610-0287-000-1 Site Plan Name: Project Name: JERRY HENNIS CONSTRUCTION / REROOF Setbacks Front Back: DETAILED DESCRIPTION OF Right Side: Left Side: Lot No. Block No. TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE (FL#10674.1) ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G (FL#9777.1) SELF - ADHERED UNDERLAYMENT. I�._... �..,....�.. Va un, —uia Rcn dppiy. L (HVAC Gas Tank [_]Gas Piping _Shutters Windows/Doors Electric _Plumbing Sprinklers Generator 21 Roof 6/12 Roof pitch Total Sq. Ft of Construction: 2,300 'In FtFt.I of First Floor: 1,293 Cost of Construction: $ 7,800 Utilities: —Sewer ❑Septic Building Height: 1 STORY Name GERARDHENNIS Address: 5810 PAPAYA DR City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772-528-9683 E -Mail: 7801 GERARD@BELLSOUTH.NET Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: KYLE WHITE Company: JA. TAYLOR ROOFING INC Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-4661040 E -Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC1325895 of construction is $2500 or more, a RECORDED Notice of Commencement SUPPLEMENTAL MORTGAGE COMPANY: � t Applicable Address: Address: City: State:_ City: State:_ Zip: Phone Phone: FEE SIMPLE BONDING COMPANY: _L_Aot Applicable Aaaress: Address: City: City:_ Zip: Phone: Zip:_ 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 Cont 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 your pro rty. A Notice of Commencement must be recorded and osted on the jobsite before the first inspect f yo intend to obtain financing, consult with lender alto ey before commencin work o,corclirgTour Notice of Commencement Signature of Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STWQE COUNTYOF s*mc,e The forgoing instrument was acknowledge"byme this 22NO dayof FEBRww 20-Pby The forgoing instrument was acknowledge efore me this aao day of reaunav 20Vb Y KYLE MIRT mE W -He Name of person making state\\\l1a� IIHyH° Name of person making statement axN1 fligr Personally Known xx OR Produ L�i%T Personally Known xx OR Produced Id@xfOnN'.�RF °! Type of Identification .� Type of Identifcation `;: �pypMlSsli •;SSIOH Produced :g=0 yar fs2��--: 's Produced e o��msa'14,ao gNt 935050 :•o` max••, IFF 936050 (Sig atureof Notary Public -State of i Man•,. oFw` ig ature of Notary Public -State of Flori p;-„'.mn_, •FFA\ tic \O °�4�/R(IC STASiO\\\\� Commission No. Fc msosa (5@GY/lllllll� Commi55ipn Na FFaaeaw �tint"1110, (Seal' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Michelle Franklin, CFA-- Saint Lucie County Property Appraiser -- All rights reserved. Ownership Gurdon B Lundeen Rcbcccal Ltmdccn 5810 Papaya DR Fan Pierce, FL 34982 Legal Description INDIAN RI% FR ESTATES -UNIT -09- BLK 79 LOT 22 (MAP 34 12S1 (OR '_67-2096) Current Values Just/Market Valuc: Property Identification Site Address: 5810 PAPAYA DR Parcel ID: }402_610-028]-000-1 Account q: 38422 Map ID: 34/12S Use Type W(K) Zoning: RS 4 CityaCount,. Saint Lade Cannily Ownership Gurdon B Lundeen Rcbcccal Ltmdccn 5810 Papaya DR Fan Pierce, FL 34982 Legal Description INDIAN RI% FR ESTATES -UNIT -09- BLK 79 LOT 22 (MAP 34 12S1 (OR '_67-2096) Current Values Just/Market Valuc: 5102.700 Asaessed Value. $79,225 Exemptions: 550.00) Taxdnle Valnc[ S29.225 Tasca for dsis parcel: SLCTax C911ccmr9 Offac© Download TRIM for this parcel: Download PDF Total Areas Finished/Under Alr (SF): 1,293 Gross Area (SF): 1.928 Land Size (acres): 0.25 Land Size (SF): 10,701 This infornratio s is believed to be mn oat at this rime but it is subject to change and is not warranted. C Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.