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ALL APPLICABLE INFO MUST BE,COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� \'� Permit Number:
RECEIVED MAY 0 9-2017
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
PROPOSED IIVIPROVEIVIENT LOCATION `
Address: 18602 KITTY HAWK COURT, PORT ST LUCIE
Legal Description: AERO ACRES BLK 2 LOT 7
Property Tax ID#: 3215-801-0036-000-9 Lot No.
Site Plan Name: Block No.
Project Name: HOLDER/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONFOF 1NORK
TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1"SS
METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. (48SQ/ 6/12 PITCH)
CONSTRiUCTIONINF,.ORMATION .; .
r .
Additional work to be nertormed under this permit—check a [n_appTy.
11HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 4,800 S Ft.of First Floor: 2,390
Cost of Construction: $ 21,940.00 Utilities:nSewer Septic Building Height: 1 STORY
OWNER/LESSEE: ; CONTRACTOR:
Name THOMAS HOLDER Name: KYLE WHITE
Address: 18602 KITTY HAWK CT Company: J.A.TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL. Address: 302 MELTON DR
Zip Code: 34987 Fax: City: FORT PIERCE State:FL
Phone No.772-460-6601 Zip Code: 34982 Fax: 772-468-8397
E-Mail: TOMBETTIE@FLBB 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;,e
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 recorde ,,and posted on the jobsite
before the first inspectio . If you intend to obtain financing, consult with I er an attorney before
commencin r rdin our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instru en was acknowledged before me The for oing instrument�i as acl nowledged before me
this day of 20 rTby this V day of 20 L-1 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
S' nature of Notary Pub He-'State o Florida 0��'oti MAfJR'1,1/1!! (Si ture of Notary Public- ate of Florida)
N��o�,etN�E MIS Pfi`�!!!
x \�. sSIONF° x �N. RF s
Personally Known OR Produced Id'el1 IioF_d bon _ Personally Known OR Produced I� RNtgmy
Type of Identification Produced - •.o Top =1_ype of Identification Produced °�yt�\s�-fir fy
Commission NO. FF93605U =; i1) OmmISSIOn NO. FF936050 se O u'o �
#FF 935050 ®_fl. 1 m.
eontle3�hC��a�(�oQ 'y'o #FF 936050 o Q
a ea
Revised07/15/2014 �9paei��; ��r�`'`°a sr........�9 ...... \\\\.N
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS