HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO,MgST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. Pe,rmitlNumber: 1-5
BuildingPermitlAppOiCEIVED 1
Planning and 6eveloprrieni Services
Buildi6d andtode Regulation Divjsio'n ; I; ; NOV 07 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:,(;772) 462-1578 COI'YlI'Y brdaI;r jtW
,
PERMIT APPLICATION FOR:
PROPOSED°IIVIPROI/E°MENT LOCATION ,
Add'ress:� jPEARS STREET, FORT PIERCE'
Legal Description: I'PINE'IVISTA LOT 13 LESS N 116.25 FT I I !
Property Tax ID #: P , '24'19-801'-0018-010-3 " 11 , 1.. "1' 1 Lot No.
Site Plan Name: r• Block No.
Project Name: DESANTIS/REROOF
Setbacks From' Back: Right Side: Lef# Side:..1'11 1
TEAR OF4011 9v0t\(!5,`. RE -NAIL DECK. JNSTALL ANEW JA TAYL'OR ROOFING -5V CRIMP METAL
PANEL ROOF�SYSTEM OVER OWENS OORNING WEATH'ERLO&`TILEA METAL..'
UNDERLAYMENT (!2/12 & 3/12 PITCH) 1 c
CONSTRUCTION IN�FORIV(ATION
Additionalwork to a er, orme under this permit— c ec .,a apply:
11HVAC Ej Gas Tank ❑Gas Piping _ Shutters F� Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,200 S Ft. of First Floor:
Cost of Construction: $ 6,860 Utilities:n Sewer Septic Building Height: 1 STORY
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CONTRACTOR
4°„
Name WILLIAM & DEBRA DESANTIS
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 3066 CROCKETT WAY
City: LAKE WORTH State: FL
Zip Coder 33467 Fax:
Phone No. 561-436-7422
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
E-Mail: HTBILLICP@AOL.COM
Fill in fee simple Title Holder on next page ( if different
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.
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SUPPLEMENTAL CONSTRUCTI�ONIEN"LAWINFOR`I"IATIOIN�
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DESIGNER/ENGINEER: ' '
x Not Applicable '
`x''.
Not Applicable
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:MQRT�GAIGE'C�OMPANY:''
Name:
Name:
Address: I' Address:
City: State: City: State:
Zip: ;Phi one: Zip:
FEE SIMPLE TITLErHOLDER: x Not Applicable !BONDING,, COMPANY: x Not Applicable
Names :1 V :'Name:"`
Address: Address:
City: i '::I II . I • I; I city: ''i II .I "I �h is I ' I '� _ �•
Zip: I Phone: f Zip:. ° ' Phone:
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I certify that no work or, installation has commenced prior -to the issuance of'a'permit . . • '
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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 l; will, in a,III respects, perform tl�e work
in accordance with the'alSproved plans, the Florida Building Codes and St. Lucie Counfy Amendments.
The,following building permit ia lixe,t from undergo
PP,cations are,19ming a full concurrency review:lroom additions,
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accessory, structures„swl{nming pools, fences, walls, signs, screen rooms and: accesspry,uses,to,another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying, twice for
improvementsmrri
to'your property. A Notice of Commenceent 'usf,be recorded and posted'o'n the jobsite
before the first ins •on. you intend to obtain financing, consult with I der an attorney before
commencin or re r in our Notice of Commencement.
_Signature of Owner,% L9l see/Agent ., a
STATE.OF FLORIDA'.
COUNTY OF STLUCIE
Th2" f rgoing instr m t was acl nowledged before me
this day of 20 Lby
KYLE WHITE
(Name of person acknowledging )
(Signature of Notary Publi6- State of Florida )
\X\\\14111111111!/�/��/
Personally Known x OR Produc.�
Type of Identification Produced „�M1SSI0/yF�
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_ co , � 9
FF 936050 N
Commission No. �*
#FF 936050 Q
Revised 07/15/2014 ✓%�ii0..! ..
Signature of Contractor/,.Licgnse Holder„
STATE OF FLORIDA '
COUNTY OIF STLUCIE
The forgoing!instrum nt was ackiowledged before me
this day' of ( 20CT by
KYLE WHITE
(Name of person acknowledging )
(Sigfiature of Notary Publi - State of Florida )
�\\\ 111111111111 I /��
Personally Known x OR Produc`�®lf����i�
Type of Identification Produced ,, _-4�\,gs/01 -9
Commission No. FF936050
7r : � �e�ber ls2 ai 1.
o�9N
z #FF 936050
STAIE.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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