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HomeMy WebLinkAboutBuilding Permit Application � C7 � � �� � SU�PPLEM'ENl'AL CQNSTRUCTI'ON LIEN LAW I'NiF©RMATI�N: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: L-<Ot Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ of Applicable BONDING COMPANY: _&4416t 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 inspecti . If yo)4 intend to obtain financing, consult with lender n attorney before commencing work_G_r1&- cordirARour 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 COUNTY OF STLUCIE The forgoing instrument was acknowledge before me The forgoing instrument was acknowledge efore me this 19TH day of_ AUGUST ZQ by this 19TH day of AUGUST 20by KYLE WHITE KYLE WHITE Name of person making statement ,� Name of person making statement ,.a�tt'•3ig�fia!1t�rd,� 9 519f..f,,{ gib` tP AA ,e. Personally Known xx OR Produced Ide�r�tifM� viion F�jr Personally Known xx OR Produced Ld°er Type of Identification Type of Identification '`i ,�� ='n 9 Produced t °�G��^N`��r" FSA°°° <Produced �emUcr 15 0 3cG- F93S050 ;P Signature of Notary Public-State of FloA � �d a�� Q y ( nature of Notary Public-State of FIctFi 6a�s`�Moraris�N�`��o?��� }c Commission No. Commission No. FF 936050 (SeatioB� ,°ST�YE�q\� O�4�i.li#i6:19 FF 936050 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�t/O- Date: � Permit Nu / -`f{% r � IZECEIVED Building Permit Application AUG 2 2 2019 Planning andDevelopment Services Permitting Department Building and Code Regulation Division �t. Lucie Count FL 2300 Virginia Avenue,Fort Pierce FL 34982 yr Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resl en la PERMIT APPLICATION FOR: Roof PI"t®,�,PO�S,�ED I(1f1PROVEMENT OC' AT�O�N �,. .. �� Address: 9411 BUNTING LANE, FORT PIERCE Legal Description: MONTE CARLO COUNTRY CLUB- UNIT TWO-LOT 142 Property Tax ID#: 1334-502-0059-000-8 Lot No. Site Plan Name: Block No. Project Name: MAZZOLA/REROOF Setbacks Front Back: Right Side: Left Side: D DESCRIPTION OF WORK: � ` MW . . r TEAR OFF TILE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC STANDING SEAM METAL.PANEL ROOF SYSTEM (NOA#18-1023.07) OVER 30# FELT UNDERLAYMENT. C®iTRUCTI(JN IINF®.RMAI-ION: Additional work toe e orme under this permit—check a appy: HVAC 11 Gas Tank []Gas Piping _Shutters Q Windows/Doors 11 Electric ❑ Plumbing Sprinklers Generator W1 Roof 6/12 Roof pitch Total Sq. Ft of Construction: 6,300 S Ft.of First Floor: 3,911 Cost of Construction:$ 37,700 Utilities: Sewer 0 Septic Building Height: 1 STORY ®WNER/LESSEE: � C®NTRAC1'OR: Name CARMEN MAZZOLA Name: KYLE WHITE Address: 9411 BUNTING LN Company: J.A.TAYLOR ROOFING INC City: FORT PIERCE State: FL Address: 302 MELTON DRIVE Zip Code: 34951 Fax: City: FORT PIERCE State:FL. Phone No. 772-332-2934 Zip Code: 34982 Fax: 772-468-8397 E-Mail: CMAZZOLA01@COMCAST.NET 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.