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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a,5 Permit Number:)_ RECEIVED Building Permit Application Planning and Development Services Q C T 2 5 2017 Building and Code Regulation Division I 2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department Phone: (772) 462-1553 Fax: (772) 462-1578 Cornrnerclal Rtd���r FL PERMIT APPLICATION FOR: Roof - ,�� C. PROPOSED IiM'PR©1/EMENT LOCATION: Address: 4076 JOHNSTON ROAD, FORT PIERCE Legal Description: 22 34 39 FROM SE COR OF NW 1/4 OF NE 1/4 RUN N 89 DEG 18 MIN 58SEC W 40 FT, TH N 00 DEG 52 MIN 02 SEC E 25FT TO N R/W JOHNSTON RD AND POB, TH N 89 DEG 18 MIN 58 SEC W 60 FT, TH N 00 DEG 51 MIN 15 SEC E 824.79 FT, TH N 89 DEG 18 MIN 58 SEC.2 416 FT, AND MORE Property Tax ID #: 1322-121-0001-000-1 Lot No. Site Plan Name: Block No. Project Name: KING/REROOF Setbacks Front Back: Right Side: Left Side: TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL UNDERLAYMENT (4/12 PITCH). _ C" O v 5e, Additional work to be nertormed u F]HVAC Gas Tank 11 Electric ❑ Plumbing Total Sq. Ft of Construction: 6,900 Cost of Construction: $ 25,860 rnls permrc— cnecK an apply: Gas Piping _ Shutters ❑ Windows/Doors 11 Sprinklers Generator ❑� Roof S Ft. of First Floor: 5,901 Utilities: —Sewer Septic Building Height: 1 STORY OWNER/LESSEE: CONTRACTOR: Name EUGENE & MAGGIE KING Name: KYLE WHITE Address: 4076 JOHNSTON RD Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FIL Zip Code: 34951 Fax: Phone No. 772-579-8243 Address: 302 MELTON DR City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E-Mail: MKING4949®HOTMAIL.COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC 1325895 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SU PLEtVIENTAI G�ON5TR+i1C�Tt�. L EN LAB N`FORMI�T{ON MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: DESIGNER/ENGINEER: x Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: x Not Applicable Name: Address: City: Address: 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 recorded and posted on the jobsite before the first inspectioa. If you intend to obtain financing, consult with le rah attorney before commencing w�or reArding vour Notice of Commencement. / / _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instr en w s acknowledged before me this Jay of 20 )�by KYLE WHITE (Name of person acknowledging) I (Signature of Notary Pu lic- State of Florida ) \\\\\\11111 i I !! f JJJJJ/p� Personally Known x OR Produced.0I�aio9F�''�;,. T Type of Identification Produced �� •: '�MISSIO,y ••• oae ? c9 Commission No. FF936050 o #FF 936050 Signature of Cdto tractor/License Holder STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument Was a knowledged before me thisC"*SZday of 20 1-7 by KYLE WHITE (Name of person acknowledging) (Sig ature of Notary Public- State of Florida ) Personally Known x OR Produced�J�er1�W1N�MR Type of Identification Produced �` O�`MagN9 9 %s Commission No. FF936050 -:(Seal)....�cn o : #FF936050 �� • A n Revised 07/15/2014 '��i,G6li�°� .r oF�r, ��//set/c sreT� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE CO M P LETE INITIALS