HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST: BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �.[.V �% I PermitiNumber:
Building: Permit, Application AUG 1 6 2iovl7
Planning and Development Services ; :; I I .1 1 ! ' I , '.' ,. 11 ,' I ', , ,
Building and Code Regulation Division PER."AI TTiNCi
2300 Virginia Avenue, Fort Pierce FL 34982
Sit. Lucie G'ounty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR:' Roof
I ,
PAOPOSED IM�PROVEMENT.LOCATION.P e . '� .° aNn a„ � ..:,
Af4rro�e• 5603 PALED PINES CIRCLE.1FOR-ePIERCE
Legal Description: HOLIDAY PINES S/D - PHASE 1 - LOT 11' r
Property Tax ID #: 1312-500-0012-000-3 ' Lot No.
Site Plan Name: Block No. _
Project Name: FAHSER / REROOF
Setbacks Front Back: a Right Side: Leff Side:
DETAIL-D'DESCRIPTION'OF WORD41
TEAR OFF SHINGLE. RE -NAIL DECK. INSTALL NEW JATAYLbR:ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER 30# FELT1UNDERLAYMENT.' 43S0 /".5/12.'PITC.H ' )
ONSTRUCTION I�IF�
C ORM' ION
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Additional work to e e
orme un er t l� permit - c e�
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�HVAC
Gas Tank
Gas Piping
Shutters
QWindows/Doors
Electric ❑Plumbing
Sprinklers
MGenerator
Roof
Total Sq. Ft of Construction: 4,300
S . Ft. of First Floor: 3,521
Cost of Construction: $ 12,900 '
Utilities:n Sewer []Septic
Building Height: 1 STORY
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Name TROY FAHSER
Name: KYLE WHITE
Address: 5603 PALEO PINES CIR
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Address: 302 MELTON DR
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 772-494-8246
Zip Code: 34982 Fax: 772-468-8397
E-Mail: FAHSERTROY@GMAIL.COM
Phone No. 772-466-4040
E-Mail: NADINEQJATAYLORROOFING.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC 1325895
IIIt value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
SUPPLEMENT � �Q;NSTRU -TIQN�LIE L/�W IN�C�RM%\TlON� '�` gg
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DESIGNER/ENGINEER: ' x
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No't li'cable
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MORTGAGE
'x' '
Not _ Not Applicable
Name:
„
Name:
Address:
Address:
City:
State:
:City:
State:
Zip: Phone:
:Zip:l. a .Phone:.
FEE SIMPLE TITLE HOLDER: x
Not Applicable
i BONDING COMPANY:
x Not Applicable
Name:
,,,N:W"e '1 "'
Address:
Address:
City:,
! `r
'city"I h ,
Zip: Phone:
Zip: Phone: "'
I certify that no work or installation has commenced, prior to the issoance,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 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 OWNS : Your failure to Record a Notice of Commencement may result in your paying twice for
improvements toy^r property. A Notice of Commencem'ent'milst be recorded and posted on the jobsite
before the fir peygon. If you intend to obtain financing, consult with lender or an attorney before
commenckrg Work of r cording your Notice of Commencement.
.. .... s
_ Signature of Owner/ Lessee/Agent �, I Signature of Co,9tractor/0 se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for oing instru ent was acl wledge before me The forgoing instrum nt was acl owledged before me
this day of (' 20 by this day of 20 by
0.
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging )
j
1!
(Si ature of Notary Public- tate of Florida 1 (Si nature of Notary Public- State of FlorA� ���0 b�S •
as
Personally Known x OR Prod u A."Ngiv � Personally Known x OR Produr�e�*Itif tioai°fN '•a
Type of Identification Produced'•. Type of Identification Produced
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Commission NO. FF936050* Commission No. FF936050 'eM4
1e ujAN� *`
#FF 936050:v0/SS Ww0`?�'
Revised 07/15/2014
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