HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
1 Permit Number:
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p
Building Perm itApplication
Planning and Development5ervices
Building and Code;Regulation'Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)46271553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roofi
PROPOSED IMPR°OVEMENT LOCATION:
Address: 2150 SNEED ROAD, FORT PIERCE
Legal Description: 15 35 38 SW 1/4 OF SW 1/4- LESS E 807 FT.'AND LESS W 40 FT AND LESS S 43.5 FT
Property Tax ID#: i 2215-332-0005-000-1 Lot No.
Site Plan Name: 1 Block No.
Project Name: :KASIEWICZ/REROOF
Setbacks Front Back: Right Side: I 1 , Leff.Side:
DETAfLED DE' [PT16N' ' F:WORK
- . .
TEAR OFF SHINGLE,'RE=NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1"SS
METAL PANEL ROOF SYSTEM OVER"30# FELT UNDERLAYMENT. REPLACE'ONE 2X2
IMPACT GLASS SKYLIGHT. (5/12 PITCH)
CONSTRUCTION ]NFORMATION. .
Additional work to be ertormeO under this permit—c hec F a apply:,
�HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 6,800 S Ft. of First Floor: 5,441
Cost of Construction:$ 25,060 Utilities:n Sewer Septic Building Height: 2 STORY
OWNER/LESSEE �
Name TARA&JAMES KASIEWICZ Name: KYLE WHITE
Address: 2150 SNEED RD Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34945 Fax: City: FORT PIERCE State: FL
Phone No. 724-448-7795 Zip Code: 34982 Fax: 772-468-8397
E-Mail: TDM79QHOTMAIL.COM Phone No. 772-466-4040
Fill in fee simple Title Bolder 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.
SUPPLEMENTAL CONSTRUCTION LIENx LAW-INFbR(VIATION`c '
DESIGNER/ENGINEER: x_' Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address: Address:
City: State: r City: State:
Zip: Phone... zi,p:i . 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.
1
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 areiexempt 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 Commence'mdht must be recorded and posted on the jobsite
before the firs ' tion. If you intend to obtain financing, consult with lend an attorney before
commenc' r recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent I. Signature o Contractor/License Holder
STATE OF FLORIDA' STATE'OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
i
The for oing instru ent was cknowledged before me The for�jo.ing instrument was a knowledged before me
this day of 20 la. y this ZS day of 20 L2 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person ackn ledgIng
(S' nature of Notary Public-State of Florida) (Signatu of Notary Public-'State of Florida)
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Personally Known x OR Produced��g9f1ii8 i jg Personally Known x OR Produced \�° • •• MA RF•
Type of Identification Produced °°°°° NE MAN 4°0�i Type of Identification Produced �\SSIOry
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