HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � '• �'7 Permit Number: 7 70
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Building Permit Application JUN 2 7 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 IMPROVEMENT LOCATION:
Address: 9416 POINCIANA COURT, FORT PIERCE
Legal Description: MEADOWOOD UNIT ONE LOT 13
Property Tax ID#: 1334-503-0015-000-1 Lot No.
Site Plan Name: Block No.
Project Name: SMITH/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF TILE, RE-NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1"SS
METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. (42SQ/ 6/12 PITCH)
CONSTRUCTION INFORMATION:
Additional work to be r)erformed under this permit—check all apply:
aHVAC Gas Tank Gas Piping _Shutters Windows/Doors
aElectric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 4,200 S Ft. of First Floor: 3,502
Cost of Construction: $ 18,800 Utilities:]Sewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name JERRY&RITA SMITH Name: KYLE WHITE
Address: 9416 POINCIANA CT 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. 772-465-5141 Zip Code: 34982 Fax: 772-468-8397
E-Mail: 625RSMITH@GMAIL.COM 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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 inspection. If you intend to obtain financing, consult wit rider or an attorney before
commenci or recording our Notice of Commencement.
s
�ignaturef Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF ST LUCIE
The'for oing instruNnt was acknowledged before me The forgoing instru ent was acknowledged before me
this day of 20�nby thisQU day of 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
4(Sio)aatuir�_eof Notary Pu lic-State of Florida ) (Si nature of Notary Public-State of Florida )
Personally Known x OR Produced I���j(I� tion Personally Known X OR Produced Id�111t111////��ii
Type of Identification Produced \` \\\\� .••.� N11 ` Type of Identification Produced
���' •'� S O� et 15, 'ci • �'.
Commission No. FF 936050 � S lO�V �i FF 936050 ? V �0 9c<"
C" Y'r/IS�Yo�.. Commission No. u,.
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Revised 07/15/2014 FF 950 •:o` %y�'�y9
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UBLIC S ASS
REVIEWS FRONT ZONIINMa11hi I ERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT CIE COUNTY
FILE # 4323910 OR B0w012 PAGE 2468, Recorded 7/2017 11 :01 :04 AM
NOTICE OF COMMENCEMENT
TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS$2,500.00
PERMIT#:— -- -- -- TAX fOLIO*:
State of Florida.County of ,the undersigned hereby gives notice that irnprovoment will he made to certoin real
piooety oncl in occordonce with chapter 713.Florido slnlutes.the followinrl intonation is provided in this notire of :'prpmen;:r r� •t,
1. LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS IF AVAILABLE}
r'r i u c c r ;>{—
2. GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
3. 'NOWNER INFORMATION or[]LESSEE INFORMATION(fit Lessee contracted for the Improvement)
a. Name: r ' I-T'ff 1�/JID Rc ,- SM L•TIL
Address: E09-r fffj.o e . Y-1-
b. Interest in property: (vim C,v%A.'c--r' r
c. Name and address of fee simple title holder (if other than owner):.NI AI
4. CONTRACTOR:
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o. Name:J.A.TAYLOR ROOFING, INC. N
Address:302 MELTON DRIVE,FORT PIERCE, FL. 34982 _
b. Phone number: 772-466-4040 'S 1 '4
5. SURETY COMPANY(IF Applic�e, a copy of the payment bond Is attached): Q a- 1
a, Name& Address; N( ?C) _
b. Phone number. _ Bond amount: ~ -
6, LENDER/MORTGAGE COMPANY: o U'
a. Nome& Address:(NIA) z w o
r. = m
b. Pr,one nurnue _ o=o Uo� n
7. PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMH MAI_j o
BE SERVED AS PROVIDED BY,SfCTION 713.13(1)(a) 7.,FLORIDA STATUTES: o -¢z
a. Nome& Address:(N/� Lu=__ y
b. Phone number: _ _ fax number. �'-cc: coo
8. IN ADDITION TO HIMSELF OR __V -- -- --- `"`3 r-o
a. Owner designates _N/A _ _of -to
receive a copy of ih nor's notice as provided in section 713.13(I)(b), Florida statues.
b. Phone number: _ ___
9. EXPIRATION DATE OF No-TICE OF COMMENCEMENT:
17HE EXPIRATION DATE IS ONE 11) YEAR FROM THE DALE OF RECORDING UNLESS A DIFFERENT DATE IS SPECIFIED).
AYL RNING 10 WNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION Of THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713
FART I.SECTION 70.13.FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION,IF YOU INTEND TO OBTAIN FINANCING.CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
LNDER PENALTIES OF PERJURY,I DECLARE IHAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN R ARE TRUE TO THE BEST Of�,IY
KNOWLEDND BELIEF(S TION 2.525,FLORIDA STATUTES
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<.( NATIiRE OF NER r LE SEE Or OWNER'S AUTHORfZED OFFICER/DIRECTOR/PARTNER/tNAG[R- SIGN ORY'S TITLE!OFI tCE
THE FOREGO ((G INSTRU (NT WAS ACKNOWLEDGED BEFORE ME THIS ^DAY OF__ , 20.1.1-,
BY: JeC L• AS OfsOhP- _FOR --- —� .
[]PERSONALLY KNOWN-OR 10pRODUCED IDENTIFICATION •TYPE OF IDENTIFICATION PRODUCED .IL
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VN
RY SIGNATURE / NOTARY SEAL :� r 's
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