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HomeMy WebLinkAboutBuilding Permit Application l ALL APPLI L INFO 4US BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I / Permit Number: Building Permit Application 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 PR®.POSED VOTIA 01/EMENl-LOCATI Address: 7904 HOLOPAW AVENUE, FORT PIERCE Legal Description: LAKEWOOD PARK- UNIT 5-BLK 46 E 37.5 FT OF LOT 6 AND ALL OF LOT 7 Property Tax ID#: 1301-605-0154-000-8 Lot No. Site Plan Name: Block No. Project Name: HALUREROOF Setbacks Front Back: Right Side: Left Side: 11KE�TrAtLED D.ES�RtP�Ti1.O.N�C�7;F WOR+K: b. TEAR OFF FLAT SECTION OF ROOF ONLY, RE-NAIL DECK. INSTALL POLYGLASS FLAT ROOF SYSTEM. CONSTRUCTI+®N INF©'RMATION: Additional work to be nertormed under this permit—check all apply: 11HVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors Electric 0 Plumbing ❑Sprinklers El Generator W1 Roof Total Sq. Ft of Construction: 400 S Ft.of First Floor: 1,382 Cost of Construction:$ 2,700 Utilities:LSewer Septic Building Height: 1 STORY OWNER/LE�SS'E : CONTtZAC"CQR: Name DEWEY&CHARLOTTE HALL Name: KYLE WHITE Address: 7904 HOLOPAW AVE Company: J.A.TAYLOR ROOFING INC City: FORT PIERCE State: FIL Address: 302 MELTON DR Zip Code: 34951 Fax: City: FORT PIERCE State:FIL Phone No. 772-579-0762 Zip Code: 34982 Fax: 772-468-8397 E-Mail: 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 SUPPEMEItoL CaNST} E1s �1t3�NL1l. W iTOM AT1.0t� ` 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 reco nd posted on the jobsite before the firs ' tion. If you intend to obtain financing, consult or an attorney before Comm Wor or recordingour Notice of Commence s _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The for ping instru nt w knowledge before me The for oing instru nt was knowledged before me this day of 20 t by this day of 20 by KYLE WHITE KYLE WHITE (Name of person ack owledging) (Name of person acknowledging) (S' natu a of Notary Public-State of F orida 11111/IJ� ( ig ature of Notary FAA-State of Florida ) \N�MANRFS9a°°°°i X �,`NttllHJrrr�� Personally Known X OR Produc�C}� i tilop �i Personally Known OR ProduA Type of Identification Produced ? ::orb•15. 'O Type of Identification Produced �.•••""'=:q �ti- o w *� z �`o�` oe115, Commission No. FF936050 �*�eafi w•� Commission No. FF936050 _ •� eal) #FF936050oq- i2 OQ� : 36050 �� Revised 07/15/2014 �9��pVe c stP �`����` a��o�9.•e,,,� NmN`;:` F``��` I//IIIIIH11111�� °0°iigypUBLIC,SZP�ea��� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS