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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Date: Permit Number: A � RECEIVED s � Building Permit Application NOV 1,8 �7019 Planning and Development Services Permitting Department Building and Code Regulation Division St. Lucie County 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX PERMIT APPLICATION FOR: Roof PROPOSED faViPRO�/ER/fENT LOCATI �N. Address: -9441 POINCIANA COURT, FORT PIERCE Legal Description: MEADOWOOD UNIT ONE LOT 42 Property Tax ID#: 1334-503-0044-000-3 Lot No. Site Plan Name: Block No. Project Name: WADE/REROOF Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION ®F W®RK: TEAR OFF TILE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL PANEL ROOF SYSTEM (NOA#18-1023.17) OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF-ADHERED UNDERLAYMENT (FL#9777.7). ®NSTRUCTI N INF©RIIATI®N: NM Additional work to e e orme under this permit—check a appy: HVAC Ll Gas Tank —]Gas Piping _Shutters Windows/Doors Electric ❑ Plumbing Sprinklers ❑Generator Roof 6/12 Roof pitch Total Sq. Ft of Construction: 4,000 SFt.of First Floor: 1,993 Cost of Construction:$ 26,900 Utilities:n Sewer ElSeptic_ Building Height: 1 STORY O1f�1/I��E /LES�S`EE: _ CONTRACT®R: . Name LINDA M.WADE Name: KYLE WHITE Address: 9441 POINCIANA CT. 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. 772-332-0751 Zip Code: 34982 Fax: 772-468-8397 E-Mail: NCREALTY@OUTLOOK.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. SUPPLEI1/1'EN AL CONSTRIJ I;ON SI N LAIN Ir"N"I I IATI®N: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ of Applicable Name: Name: Address: Address: City: State: City: Stater Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: Not 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 thepermit 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 a.nd 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 insp Ion. If you intend to obtain financing, consult with lender attor y before commencin or rec din our 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 acknowledged before me The forgoing instrument was acknowledge efore me this 15TH day of NOVEMBER 20A by this 15TH day of NOVEMBER 2() by 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 ""')n o,,III, (Signature of Notary Public-State of Florida) (Si nature of Notary Public-Stat_pdr rida) NADINEMANRESA 1�pY PU@,, NADINE MANRESA r�•'•••'•¢ Commission#GG 355203 Commission No. GG 355203 4P•` ( Commission No.•••'•`fr+ lssion#GG 355203 GG 355203 w ( sNovember16,2023 `oma ExplresNovember15,2023 9 IFF619e BonMThru Budget NOWT/SWOON y�oFa��� BwdodThruBudyetNolerY�+� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17