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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Sir Umig �'o Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential xx 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: ROOF PROPOSED ENTLOCAT31 LOCATI Address' 8801 S INDIAN RIVER DR, FORT PIERCE Property Tax I D #: 3519-502-0004-000-1 Lot No. Site Plan Name: Block No. Project Name: BAYSINGER/REROOF DETAIf' - OF ' TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW ENGLERT 1120 1"STANDING SEAM ROOF SYSTEM (FL#31655.1) OVER POLYGLASS MTS SELF -ADHERED UNDERLAYMENT (FL#5259.1) New Electrical Meter Second Electrical Meter Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors Pond _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: 1,000 Cost of Construction: $ 8,860 Name JEFFREY & LOIS BAYSINGER Address: 8801 S INDIAN RIVER DR _Generator _Roof 5/12 Pitch Sq. Ft. of First Floor: 3.561 Utilities: _Sewer _Septic Building Height: 1 STORY City: FORT PIERCE State:_ Zip Code: 34982 Fax: Phone No. 772-291-5188 E-Mail: COLIN@DELAHUNTYCONSTRUCTION.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) f value of construction is 2500 or more, a RECORDED Notice Name: KYLE WHITE Company: J.A. TAYLOR ROOFING INC Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No 772-466-4 440 E-Mail ASHLEY@JATAYLORROOFING.COM State or County License CCC1325895 It value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required. PPLEM ENTAL CONSTRUCTION LIEN LAW I DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: Applicable Name: _Not Name: Address: Address: City: State:_ City: State: Zip: Phone _ Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Applicable Name: _Not Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to dothe work and installation as indicated. I certifythat no work or installation has commenced priorto the issuance of a pennh. St. Lucie Coon ty makes no representation that isgranting a permit will authorize the permit holderto 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 wrath 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Luce County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult UW Signature of Owner/Lessee/Contractor a$ Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OFSTiuclE Sworn to (or affirmed( and subscribed before me of xx Physical Presence or Online Notarization this m day of SEPTEMBER 2e24 by KYLE WHITE STATE OF FLORIDA COUNTY OF ST IVCIE Sworn to (or affirmed) and subscribed before me of xx Physical Presence orOnline Notarization this wH day of SEPmMBER 202t by KYLE WHITE Name of person making statement. Personally Known xx OR Produced Identification Personally Known XX OR Produced Identification Type of Identification Type of Identification (Signature Commission REVIEWS COUNTER REVIEW SREVIEW R I REV EW I VREV REVIEW N I SREV EWLE MREV EWVE Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved. Site Address: 88ol S INDJAN RIVER DR SectFowu/Range: l9/36smin Parcel ID: 3519-5020004-000-1 Jurisdiction: Saint Lucie County Ownership 'Off ABaysinger Lois F Baysmger 8801 S Indian River DR Fort Pierce, FL 34982 Property Identification Use Type: 0100 Account#: 115878 Map ID: 35/19N Zoning: Reaidentia Legal Description T M DEAL PROPERTY -AN UNRECORDED PLAT - THAT PART OF S 9 FT OF LOT 3 AND ALL LOT 4AND N 12 OF LOT 5ALL LYO ELY OF E R/W FEC RR -LESS RD RfW- (2.45 AC) (OR 3743-1759) Current Values Just/Market Value: $629,500 Assessed Value: $512,845 Exemptions: $50,000 Taxable Value: $462,845 Property taxes are subject to change upon change of ownership. • The Cues nre note ty a pm 9t the ra future taxes. • The saleorn properryw0lpmrt sports] ewfli eaemptloos, aueesmen[ caps, andd special GaasiEcatione. Taxes for this Forest: SLC Tax Colbur. Office© Download TRIM for this parcel: Dowatoad PDF 19 Total Areas Finished/Under Air (SF): 3,561 Gross Sketched At. (SF): 9,654 Land Size (acres): 2.45 Land Size (SF): 106,722 Building Design Wind Speed Occupancy Category I It III & IV Speed 140 160 170 Soorce0usks: All information is believed to be correct at this time, but is subject to change and is provided without my warranty. ® Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.