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Building Permit Application
ALL APPLICABLE INFO MUST ,�B.E-�COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1. �� � a`-� Permit Number: i Building Permit ApplicaliorI& Planning and Development Services Building and Code Regulation Division ��� �dy 2300 Virginia Avenue,Fort Pierce FL 34982 ¢!���,y Phone: (772)462-1553 Fax: (772)462-1578 Commercial ' ,dential XX PERMIT APPLICATION FOR: Roof - n^�� — � POSED 11VlPR®1/EM IT MEAN Address: 4100 MCCARTY ROAD, FORT PIERCE Legal Description: 33 35 39 THAT PART OF SEC MPDAF:FROM SW COR OF SW 1/4 RUN E ALG S LI OF SEC 33 FT TO E RD RAV LI OF MCCARTY RD,TH N ALG E R/2 LI 2193.4 FT,TH N 89 10 30 E.1212.54 FT,TH N 553.88 FT,TH N 10 03 29 E 40.52 FT TH N 30 12 35 AND MORE Property Tax ID#: 2333-232-0020-000-8 Lot No. Site Plan Name: Block No. Project Name: TRAVIS/REROOF Setbacks Front Back: Right Side: Left Side: DE'T�„„,�IILED 00S k PT)ON F VU®RK t fi '�l�xfi`N:k z � .�.' TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR EDGE-LOC 1" STANDING SEAM METAL PANEL ROOF SYSTEM (NOA#18-1023.17) OVER OWENS CORNING WEATHERLOCK TILE & METAL (FL#97.77.7),SELF-ADHERED LINDERLAYMENT. CgNSTRUgCTibN R MA206 3 gr TIO,N N�. ,_ �w � �a Additionalwork to be nertormed un er.t is permit—c ec all appy: HVAC L_I Gas Tank []Gas Piping _Shutters a Windows/Doors ❑Electric ❑ Plumbing Sprinklers Generator Roof 6/12 Roof pitch Total Sq. Ft of Construction: 3,000 SFt.of First Floor: 1,826 Cost of Construction:$ 16,300 Utilities:n Sewer Septic Building Height: 1 STORY �{,-e=x .g �" WINE`+^ g s4 2S x OU1/NERf L=ESS E t7ON�� pR. < u .. �RrRPR �" ., ,,. � .,, m F.. .. Name ROGER&ANITA TRAVIS Name: KYLE WHITE Address: 4100 MCCARTY RD Company: J.A.TAYLOR ROOFING INC City: FORT PIERCE State: FL Address: 302 MELTON DRIVE Zip Code: 34945 Fax: City: FORT PIERCE State:FL Phone No. Zip Code: 34982 Fax: 772-468-8397 E-Mail: JACKEDWHIPPET@BELLSOUTH.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. - 1PPL11roll LC®NSl'RIl1(:fl®N LIEN tAW I1NF©Ri1/I�TI21: DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: _ of 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 failur to Record a Notice of Commencement may r�Rpoout r paying twice for improvements to your pr ert . Notice of Commencement must be recorde the jobsite . before the first inspe ' n. If intend to obtain financing, consult with len at r ey before commencingw r record' our Notice of Commencement. Signa ure o Owner/Lessee/Contractor as Agent for Owner Signature of ntractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The forgoing instrument was acknowledOby efore me The forgoing instrument was acknowledggcj pefore me this 9TH day of JANUARY 2this 9TH day of JANUARY 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 Sig ature of Notary Public-State of Florida) (Si nature of Notary Public-State of Florida) '� y nue NADINE MANRESA o��t`v puBG NADINE MANRESA GG 355203 ?�•. .•G° {��.,�� GG 355203 ? ••••� n Commission No. * VDAHFlrSSion#GG 355203 Commission No. . * Qftall;)lon#GG 355203 yr o� Expires November 15,2023 Expires November 15,2023 OF F�O�\ Bonded TNu Budget Notwry Services �oF FBonded Ttuu Budget Notary Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17