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HomeMy WebLinkAboutBuilding Permit Application I 1 I I r ALL APPLICABLE;INFO.MUST,BE:COMPLETED'FOR APPLICATION TO BE ACCEPTED OWNDate: .h , Permit Number: VED ! i i Building:Permit Application � �. �I i!NOV ' Planning and'Develop'ment Services 2017 Building and Code Regulation:Division I PERMITTING 2300 Virginia Avenue Fort Pierce FL 34982 St. Lucie 9 Co I un . F County, L : Phone: (772)462-1553 'Fax: (772)462_1578� COP' mei'Clal I Residential Xrl Ili . .... . . PERMIT APPLICATION rFOR: ' Roof:• PROPOSED IMPROVEMENT LOCATION." 327 SHADY LANE, PORT ST LUCIE Address: • Legal Description: RIVER PARK.-.UNIT 2-.BLK 1.1 LOT 16 y ,; f sl f:lr Property Tax I 3419510'0072000-6 1 Lot No. Site Plan Name: r Block No. . . .. . ... .... GARCIA/REROOF..... r .. ... ._!, . .. .. ... ... .... ..._....... ....... Project Name: 1 Setbacks Fr'ont., = Back: I Ri ht Side g I .. L ft.S i d r .1% i :r-1 11' a 1. DETAILED DESCRIPTION OF WORK TEAR OFF SHINGLE; RE-NAIL DECK. INSTALL NEW JH,:TAYLO!R•IMETAL-FANE'L-ROOF SYSTEM (4/12 PITCH), ., trI , I r, l i I, ,[ II'�l . 1,: i+' IL '.. 1 CONSTRUCTIC+N.INFORMATIQN Additional wor .to e e orme, un e,rt ,s permit;c ec ,a apply:,.,_ 1]HVAC E]Gas Tank Gas Piping _Shutters 0 Windows/Doors Electric ❑_Plumbing Sprinklers Generator) ® Roof Total Sq. Ft of Construction: 2000 S . Ft.of First Floor: 1,142 Cost of Construction: $1,p00•' Utilities: Sewer❑Septic Building Height: 1 STORY .I OWNER/LESS-EE ? ,° Ir,n °° °CONTRACTOR. Name SIMON GARCIA &CORINA VAZQUEZ Name: KYLE WHITE Address: 327 SHADY LN Company: J.A.TAYLOR ROOFING INC City: PORT ST LUCIE State: FL Address: 302 MELTON DR Zip Code: 34952 Fax: City: FORT PIERCE I State:FL Phone No. 772-201-1151 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: NADINEQJATAYLOkROOFING.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. y 13 ,.a � Y F l t 2 •. � I e.I . � � SUPPLEMENTAL,CONSTRUCTION LIEN LAW INIF ATION . i �z., a'4' DESIGN ER/ENGINEERL Ix! NotlAppable MORTGhGi'E"C iOMPANY: st ; ..xNot Applicable l Name: -Name:- Address: Address: I City: State: City: State: Zip: Phone: '.Zi' ' . .. ,II. i ...Phone: . -J:' _ I I FEE SIMPLE TITLE HOLDER: x Not Applicable �,BONDING':COMPANY: x Not Applicable Name: Address: Address: City: I :I I rCty: Zip: Phone: 'I Zip: Phone: I I I I certifythat no work or installation has commenced prior to . a p �the,issuance of a permit; I 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 Associationlrules,bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restriction's which may apply. In consideration of the granting of this requested-permit,. do hereby agree that:l�will,i, all resp,ects;'perform the work in accordance with'the approved plans the Florida Building Code's and St. Lucie County''rriendrh6nts. ' The following building permitiapplicatioDs are exempt from underg'oing: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 recorded and po edI on the jobsite before the first ins ectio If you intend to obtain financing, consult with lender an torney before commencing- rq0dingvour Notice-of-Commencement. _ .. ... ignature of Owner/Fessee/Agent Signat re of Contractor/License o der, STATE OF FLORIDA" TAT:E OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The forgoing instr m nt was ack owledged before me inJILO-cl of�-_ , ©Vs wledged before me this day of rue_ 20�by, this forgoin ylnstrunt was ac ryo0- by K .K YLE WHITE KYLE WHITE (Name of person acknowledging) (Name of person acknowledging) I I (Signature of Notary Pu lic-State of Florida) (Si nature of Notary Pu lic-State'of Florida) Personally Known x OR Pro dtll' 4�ipr Personally Known I OR Produced Identification Type of Identification Produced Type of Identification Produced or 1Commission No. FF s3s0so- = z�� ea.l)S�oA9�:. = Commission No. F I s3s0s0. I ��P\\111�F ber1SElo•. y �2 •,•e� •o� = �_m• _ r�i� �nded1h�• z;Q� =*; m m• Revised07/15/2014o; FF936050 •*� lllIPIIIIII 0\\ i99•. ndedih z :Q REVIEWS FRONT. ZONING, ; ''SUPERVISOR PLANS VEGETATION SE�r� �rN ry ROVE COUNTER REVIEW REVIEW REVIEW REVIEW RE STin N\\VIEW ' DATE i COMPLETE INITIALS , ,, . , , . .:. . . .., . ., ,,: , ,. ., :. ; . . ,. ,., I' ,. ,. • , � . : I� I I I i