HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ROOF
PROPOSED IMPROVEMENT LOCA'
Address: 2719 S 29th ST, FORT PIERCE
Property Tax ID #: 2420-421-0012-000-6
Site Plan Name:
Project Name: BENNINGIREROOF
DETAILED E
Residential xx
I EAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR 5V CRIMP METAL ROOF RYSTFM
(FL#17443.1) OVER POLYGLASS MTS SELF -ADHERED UNDERLAYMENT.
New Electrical Meter Second Electrical
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doom _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof 4M2 Pitch
Total Sq. Ft of Construction: 1,260 Sq. Ft. of First Floor: 1,512
Cost of Construction:$ 9,600 Utilities: _Sewer _septic Building Height: 1 STORY
NER/LESS
CONTRACTOR:
Name LAURENCE BENNING
Name: KYLE WHITE
Address: 2715 S 29TH ST
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State:
Address: 302 MELTON DRIVE
_
Zip Code: 34981 Fax:
City: FORT PIERCE State: FL
Phone No. 772-579-9038
Zip Code: 34982 Fax: 772-468-8397
E-Mail: IBENNING@ATT.NET
Phone No T72-486-4040
Fill in fee simple Title Holder on next page ( if different
E-Mail ASHLEY@JATAYLORROOFING.COM
from the Owner listed above)
State or County License CCC1325895
2500 or more, a RECORDED Notice of Commencement
••-a.�= ..,....1b91,awvr more, a newnueu nonce or Commencement is required.
:DESIGN7ER/ENGINEER:
LAW I
Not ApplicableMORTGAGE
COMPANY:
Name:
Not Applicable
Address:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTnR ACCInUm A...a:.._.:__:_
----"-"11'— '••- .... —,• � � eworxana Installation as indicated.
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.
inconsideration 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender oran attornev hefnrP rnmmPnrinn u,nrl. nr rer,..d:.....,.. «:___. _
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Signature of Owner/Lessee/Con tractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF er i-MIE
COUNTY OF 9r WCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
xx Physical Presence or_ Online Notarization
xx Physical Presence or Online Notarization
this 10TH day of aancH 2O24 by
this 1mH dayof BuacH 2020 by
MILE WHITE
K LE WHITE
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification _
Personally Known xx OR Produced nitification
Type Identification �u^; ",W� ASHLEYHEUER
Type of Identification yP` ASHL�E
Produced
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Produced �-Au a cftn1BBion#HH01
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Signature otary ublic- State of Florida I
(Signature
(Signature Notary Public- State of Florida )
Commission No. HlI 0793M (Seal)
Commission No. eH 079Ne (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATIOjj�
URTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEWIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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