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Building Permit Application
ALL APPLICABLE INFO MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Date: Permit Number: I • RECEIVED Building, Permit Application ,Planning and Development Services OCT 0 4 2017 Building and Code Regulation Division PERMITTING 2300 Virginia Avenue, Fort Pierce FL 34982 5t. Lucie County, FL Phone: (772)462-1553 Fax: (772)462=1578 Commercial Residential X PERMIT APPLICATION FOR: Roof ;PROPOSED hMPROVEM—ENT'LOCATION� (Address: 5801 DEER RUN DRIVE, FORT PIERCE © S� iLegal Description: HOLIDAY PINES S/D- PHASE III -LOT 557' i Property Tax ID#: 1313-502-0134-000-3 Lot No. Site Plan Name: Block No. Project Name: iHE/RE-ROOF Setbacks Front Back: Right Side: Left Side: gc DETAILED DE5CR°IPTION 0 WORK. `' TEAR OFF SHINGLE, RE'NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1"SS METAL PANEL ROOF SYSTEM OVER'30# FELT UNDERLAYMENT. (5/12 PITCH) I i ICO'NSTRUCTi 6—INN ORMATION. itiona wor to Tie ormed under t is°permit—c ec ha appy: ❑HVAC Gas Tank Gas Piping __ ❑ p g Shutters ❑Windows/Doors ❑Electric ❑ Plumbing []Sprinklers ❑Generator W1 Roof Total Sq. Ft of Construction: 3,700 S Ft.of First Floor: 2,401 Cost of Construction:$ 13,400 Utilities:cnSewer❑Septic Building Height: 1 STORY OUI/NER/LESSEE . CONTRACTOR „ „ - Name ZHENLI HE Name: KYLE WHITE Address: 5801 DEER RUN DR Company: J.A.TAYLOR ROOFING INC City: FORT PIERCE State: FL Address: 302 MELTON DR Zip Code: 34951 Fax: City: FORT PIERCE State:FL Phone No. 772-971-5854 Zip Code: 34982 Fax: 772-468-8397 E-Mail: ZHELEE.HE@GMAIL.CM 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. I I SU_PPLEmMENTAL CQNSTRUCTION LIEN LAW INFORMATIONg :t . ... �� � !DESIGNER/ENGIN, EER:' ,li'I'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. I � I 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 yvill,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,gXeMptfrom 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'y6'Ur property. A Notice of Commencement must be recorded and posted on the jobsite ;before the first iDc 4wction. If you intend to obtain financing, consult with lender or an attorney before commencin orAcording your Notice of Commencement. I s _Signature of Owner/Lessee/Agent Signature of Contractor License Ho der STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The forgoing instru nt as acknowledged before me The forgoing instru _ nt w s acknowledged before me this day of 20t:by this Q day of UQ 20 Xa by KYLE WHITE KYLE WHITE (Name of person acknowledging) (Name of person acknowledging) (Sign4ture of Notary Pub ic- tat6;�? r S ";sue (Si ature of Notary Public-State of Florida) .•�M �ON q Personally Known x OR rod Personally Known xl OR Produced I�d i ' tion Type of Identification Produce(E*. = a.� `°�'; - Type of Identification Produced !yi y�, #FF936050 :Q;; ����\ ?•'°•153••°•F�yj`'%• Commission No. FF936050 !iOJ• A$ea, Se QUO\ Commission No. FF936050 ` ;GQ pa�N�•. �� ��/�9�p"�`;�n�tle�0ito���g• 0\\\ 011�/)I11111il11 � • #FF936050 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TAU'U1III"�QANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I"