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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �ra ,� Permit Number:
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RECEIVED
Building Permit Application, JAMB 3 9 2017
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 I11/IPROUEIVIENTRLOCATION
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Address: 2830 ADMIRAL STREET., FORT PIERCE
Legal Description: MARAVILLA PLAZA BILK 2 LOTS 4, 5 AND 6
Property Tax ID#: 2421-802-0027-000-6 Lot No.
Site Plan Name: Block No.
Project Name: CARMONA/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
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DTAILED DE SCRIPTIONS F WORK
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL NEW JA'TAYLOR ROOFING EDGE-LOC 1"SS
METAL PANEL ROOF SYSTEM OVER OWENS CORNING SELF-ADHERED UNDERLAYMENT.
(31 SQ/5/12 PITCH )
CQ�ISTRUCTION INFORII%IATION f'
Additional work to be performed under this permit-check,all a p p—y.
E1HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator W1 Roof
Total Sq. Ft of Construction: 3 k C)0 S . Ft. of First Floor:
Cost of Construction:$ �5, ao5. Utilities: Sewer Septic Building Height: 1 STORY
OW, R/LESSEE CONTRACTOR;
Name ENRIQUE&JOLENE CARMONA Name: KYLE WHITE
Address: 2830 ADMIRAL ST Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: '302 MELTON DR
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No. 772-359-3728 Zip Code: 34982 Fax: 772-468-8397
E-Mail: RJCARMONA@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: CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SIPPLEIVIENTALYCONSTRUCTION LIEN IAUV INFORMATION
x
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: 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 your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first ' pection. If you intend to obtain financing, consult with lender or an attorney before
commencina-,ArV or recordi.ng your Notice of Commencement.
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_Signature of Owner/Lessee/Agent 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 acknow edged before me
this day of 20 [:T-by this lay of 0 01&k 20 �n by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
A��-�a"y",
( gnature of Notary Public-State of Florida) (S' nature of Notary Pu ic-State of Florida )
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Personally Known OR Produce I $ �� I �a, Personally Known OR Produced Ide�r�i:fic �a,,,t
Type of Identification Produced P0� °^°°°•Fs '�i, Type of Identification Produced
.A '°e�ap Fj=•• ;R�°���p\SSIONF°;Y
Commission No. FF 936050 0 0 �ObOf 15?oA9�o Commission NO. FF 936050 ( Z�� 29i`e2f 15 A o r
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE =GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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