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HomeMy WebLinkAboutBuilding Permit Application l� 1 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: i 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 Residential XX PERMIT APPLICATION FOR: -Roof PR011iiPOSED pi LOCATION: Address: 10605 PINE CONE LANE, FORT PIERCE Legal Description: PINE HOLLOW-UNIT ONE-LOT 29 Property Tax ID#: 2321-801-0029-000-0 Lot No. Site Plan Name: Block No. Project Name: HAWLEY/REROOF Setbacks Front Back: Right Side: Left Side: DETA=EMIEDCRIiP�TI®,N QF W©RK: TEAR OFF SHINGLE, RENAIL DECK. INSTALL JA TAYLOR ROOFING EDGE-LOC METAL PANEL ROOF SYSTEM (NOA#18-1023.17) OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF-ADHERED LINDERLAYMENT (FL#9777.7) . CO STRt1CT1(JN IN1=0R ,4,TLON: Additional work toe nertormed under this permit—c ec a appy: HVAC Gas Tank Gas Piping _Shutters Windows/Doors 11 Electric EIPlumbing Sprinklers ElGenerator W1 Roof 6/12 Roof pitch Total Sq. Ft of Construction: 5,400 SFt.of First Floor: 3,243 Cost of Construction:$ 26,200 Utilities:n Sewer E]Septic Building Height: 2 STORY ----OEMC®NTRACTOR: Name ROBERT&KATHY HAWLEY Name: KYLE WHITE Address: 10605 PINE CON LN Company: J.A.TAYLOR ROOFING INC City: FORT PIERCE State: FIL Address: 302 MELTON DRIVE Zip Code: 34945 Fax: City: FORT PIERCE State:FL Phone No.772-468-1091 Zip Code: 34982 Fax: 772-468-8397 E-Mail: RAHDK1@AOL.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. Sl1PPLEM�EN1`AL C®NS1'R�UCTION U!=N L�►W INFORMATIO - DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _L-1qot Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ of 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 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 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 andposted on the jobsite before the first ins tionyou intend to obtain financing, consult with lender n at to ey before commencingor rec in our Notice of Commencement. Signa ure o Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The forgoing instrument was acknowleclgeA before me The forgoing instrument was acknowledge efore me this 12TH day of DECEMBER 2DTLJ by this 12TH day of DECEMBER Zoby 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 Sig ature of Notary Public-State of Florida) Si ature of Notary Public-State of Florida) Commission No. ccass2oa ��P,S,`:puk (Sea IDINEMANRESA GG355203:°�WPU, E' NADINEMANRESA Co mission#GG 355203 Commission No. + * CommAIMMIGG355203 * * Expires November 15,2023 w, o< Expires November 15,2023 N9j. oQ\o� BondedThruBudgetNoteryServtces �--0 .1 Bonded TlnBudget NotWSenk¢e REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17