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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
II
Date: l fir- G/�- ` / I Permit Number: I �'
RECEWED
Building Permit Application Nuu l.2 IN
Planning and Development perm►tttn9 Department
Building and Code Regulation Division St, Lucle County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION F•'
Address: 66 AQUA RA DRIVE, JENSEN BEACH
Legal Description: WINDMILL VILLAGE BY THE SEA - UNIT TWO - BLK A LOT 12 - LESS 36.30 FT
Property Tax ID #: 4511-811-0013-000-5 Lot No.
Site Plan Name: Block No.
Project Name: SIMONEAU/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
TEAR OFF SHINGLE, RENAIL DECK. INSTALL. NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM (FL#17443.1) OVER OWENS CORNING WEATHERLOCK TILE & METAL
(FL#9777.7) SELF- ADHERED UNDERLAYMENT. REPLACE (2) SKYLIGHTS
❑ H VAC
❑ Electric
"Shutters
0 Plumbing Sprinklers ❑ Generator W1 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2,200
Cost of Construction: $ 8,525
❑ Windows/Doors
S Ft. of First Floor: 1,176
Utilities:cn Sewer []Septic
Name TAMMY & JAMES SIMONEAU
Address: P.O. BOX 6146
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No., 772-349-4070
E-Mail: SIMONEAUT@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: KYLE WHITE
Building Height: 1 STORY
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772.466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
EU3011=1EMENTL C®NSi' 11Ci'I®N l.l'EN I.� INrFQRM/�1'ION
DESIGNER/ENGINEER: _ of Applicable
MORTGAGE COMPANY: k--NetApplicable
Name:
Name:
Ad d ress:
Address:
City: State:
City: State:
Zip: Phone
Zip:. Phone:
FEE SIMPLE TITLE. HOLDER: 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 coricurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: our failure to Record a Notice of Commencement may result in your paying twice for
improvements to yo pro rty. A Notice of Commencement must be recorded and ste on the jobsite
before the.first i ection you intend to obtain financing, consult with lender n at ney before
commencin rk or rec ding your Notice of Commencement.
Signatu of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contras or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledged efore me
The forgoing instrument was acknowledged efore me
this Iday of NOVEMBER by
this 6TH day of NOVEMBER 20by
��ll
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(ig ture of Notary Public- Statyp Florida l�ApINEMANRESA
°4
'Pay ru NADINE MANRESA
2° "'•�'"
Commission No. GG355203
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Commission No. GG355203
*(s&9mission#GG355203
E I ovember 15, 2023
Expires November 15, 2023
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
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REVIEW
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DATE
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DATE
COMPLETED
Rev. 8/2/17