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HomeMy WebLinkAboutBuilding Permit Application � � 1 ALL APPLICABLE INFO MUST -�B^EE COMPLETED FOR APPLICATION TO BE ACCEPTED -�j Date: �"�' Permit Number: t V �0 .i 9%; - Building Permit Application FEB 2 207 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 X PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION:` Address: 775 NETTLES BLVD. Legal Description: NETTLES ISLAND,INC,A CONDO-SECTION II PARECEL 775 AND PRO-RATA SHARE IN COMMON ELEMENTS Property Tax ID#: 4502-501-0961-000-5 Lot No. Site Plan Name: Block No. Project Name: WALTERS/REROOF Setbacks Front Back: Right Side: Left Side: D-ET 'I`LED DE5CR'IPTION OF WORK TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL NEW JA'TAYLOR ROOFING 5V CRIMP METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. (16 SQ/3/12) [C:b:NSTRUCTION INFORMATION: Additional work toa er orme under this permit—check a appy: HVAC E]Gas Tank /Gas Piping _Shutters Windows Doors ❑ p g ❑ Electric ElPlumbingSprinklers I Generator W1 Roof Total Sq. Ft of Construction: 1600 SFt.of First Floor: 997 Cost of Construction: $ 5,200.00 Utilities:nSewer 0Septic Building Height: 1 STORY OWNERAESSEE: .CONTRACTOR: Name CLARENCE WALTERS Name: KYLE WHITE Address: 117 CRANUS BEACH DR Company: J.A.TAYLOR ROOFING INC City: OUINCY State: FL Address: 302 MELTON DR Zip Code: 49082 Fax: City: FORT PIERCE State: FL Phone No.517-462-8649 Zip Code: 34982 Fax: 772-468-8397 E-Mail:AFARDNEST@YAHOO.COM Phone No. 772-466-4040 Fill in fee simple Title Holder on next page(if different E-Mail: NADINE@JATAYLORROOF]NG.COM from the Owner listed above) State or County License: CCC 1325895 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: x Not Applicable M MORTGAGE COMPANY: x Not Applicable Name: i Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issgance 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 property.A Notice of Commencement must be recorded and posted on the jobsite before the firstin n. If you intend to obtain financing, consult with lender or an attorney before commencing-* or zelordin our Notice of Commencement. s _Signa ure of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF STLUCIE The forgoing instrument as acknowl dged before me The forgoing instrument was acknowledged before me this day of 20(aby this day of 20 by KYLE WHITE KYLE WHITE (Name of person acknowledging) (Name of person acknowledging) 0(S1,(gnature of Notary Public-State of Flori�c�'�qq°° Mph >ieip� (Signature of Notary Public-State of Florida) Personally Known x OR ProduOd Id l�`IS19I :rte Personally Known x OR Produced Identification Type of Identification Produced >'�ep 20 9<n Type of Identification Produced Commission No. FF 936050 ".(Sej�l=936050 Commission No. FF 936050 (Seal) �aQ'= Q� eDndedZ1 1; Revised 07/15/2014 116111 E¢1�1%\\\\a\`� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE / INITIALS 1-7 00 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable Name: i Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 yourproperty. A Notice of Commencement must be recorded a d posted on the jobsite before the firstin or a n. If you intend to obtain financing, consult wit nder r n attorney before commencin ordin our Notice of Commencement. s _Signa ure of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST LUCIE COUNTY OF STLUCIE The forgoing instrument FNas acknowl dged before me The forgoing instrVFwnt ps acknowl dged before me this day of 20flaby this day of 20 A— KYLE WHITE KYLE WHITE (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Flory,''+` �pJo>i, ( gnature of Notary Public-State of Florida) hO�NE rdAnlRFs , , �,���,.°•°SIq q � I�NlplJ1JJ0� Personally Known x OR Produe2d Id i�t� s Personally Known x OR Produ 0.�'1dght�#IIL.t�o '�� Type of Identification Produced Type of Identification Produced �Is,.' •tt °K ®.® = :�, ember is Ff 9 Commission No. FF 936050 =($e = Commission No. FF 936050 v eal) "c'o ym *F 936050 aTz _ Y%�-U�'•°.8���''�dedlhN• 5�02� No o �,FF ® cn a e, 9 •k sect`:° w 936 s ^X Revised 07/15/2014 �J�a't!TN1 VN ��'! °GB°°Q�O s N�;.��oPo si9r! REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS