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HomeMy WebLinkAboutB uilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Developmentservices 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 b5E0IWPPR 3VE Address: 2704 WALKER DRIVE, FORT PIERCE Legal Description: SHERATON PLAZA- UNIT THREE REPLAT LOT 166 Property Tax ID #: 1432-806-0034-000-1 Site Plan Name: Project Name: FORTEIREROOF Setbacks Front Back: Right Side: Left Side: Lot No. Block No. TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE ROOF SYSTEM (FL#10674.1) OVER 30# FELT UNDERLAYMENT (FL#12328.7). 11 IIHVAC LJ Gas Tank Gas I. JElectric ElPlumbing OSpi Total Sq. Ft of Construction: 2,200 Cost of Construction: $ 5,900 Name LASHONDA FORTE JONES Address: 2704 WALKER DR Piping UShutters ❑Windows/Doors nklers ❑ Generator ✓ Roof 5/12 Roof pitch _ 5q Ft. of First Floor: 1.364 Utilities: -Sewer ESeptic Building Height: l STORY City: FORT PIERCE State: FL Zip Code: 34946 Fax: Phone No. 772-370-1771 E-Mail: LASHONDAFORTE@GMAIL.COM Fill in fee simple Title Holder on next page ( If different from the Owner listed above) is $2500 or more, a RECORDED Name: KYLE WHITE Company: J.A. TAYLOR ROOFING INC Address: 302 MELTON DRIVE City,; FORT PIERCE State: FL Zip Code: Fax: 772-468-8397 Phone No. 772-466-4040 E-Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC1325895 UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Ot AppliC� cable MORTGAGE COMPANY: NFApplicable Name: Name: Address: Address: City: State:_ City: State: 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 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 pro erty. A Notice of Commencement must be recorded and post on a jobsite before the first inspec ' . If y tend to obtain financing, consult with lender or a or efore commencin wor recordi our Notice of Commencement. Sig r er Lessee/Contractor as Agent for Owner Signature of ontractor Icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STwcre COUNTY OF snucm The forgoing instrumentwas acknowledged before me The forgoing instrument was acknowledged me this +TM day of WSUCH 2W by �before this are day of unaerycH 2Oby KTLE WHITE "LEMI E Name of person making statement Name of person making statement Personally Known xx OR Produced Identification Personally Known sX OR Produced Identification Type of Identification _ Type of Identification Produced Produced (Signature of Notary Public -State of Florida I (Signature of Notary Publi -State of Florida ) NRESA Commission No. u0355soa ,ern Seal ADINE MANRESA —�( N GG355203 tea...... �� NAIjINEMANRESA Commission Na. bL%6111kslon#GG 355203 elpADINEM 03 Expires November 15,202 Expires November 15,2023 AThe tP BOMntlThry BWY11brWLnFA REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17