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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �—aA Permit N mber:_11 0X-614.111 ®R 111111_Y� RECEIVED Building Permit Application OCT 2 5 2017 Planning and Development Services Building and Code 12eg'ulationDivision Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 t.. U COU ntyr FL (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Roof —InnQAq� —r PRO POSED] MPROVEMENT LOCATION: Address: 4076 JOHNSTON ROAD, FORT PIERCE - PORCH 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 Site Plan Name: Project Name: KING/REROOF PORCH Setbacks Front Back: Right Side: I ' Left Side: Lot No._ Block No. DETAILED.DESCRIPTION OF WORK TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL PANEL ROOF SYSTEM OVER OWENS CORNING WEATHEFILOCK TILE & METAL UNDERLAYMENT (4/12 PITCH). CONSTRUCTION INFORMATION Additional work toe nerformed under this permit — check a apply: j E]HVAC I _1 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric Plumbing OSprinklers I Generator W1 Roof Total Sq. Ft of Construction: 200 S Ft. of First Floor: 5,901 Cost of Construction: $ 750.00 Utilities:nSewer OSeptic Building Height: 1 STORY OWNER/LESSEE CONTRACTOR Name EUGENE & MAGGIE KING Name: KYLE WHITE Company: J.A. TAYLOR ROOFING INC Address: 4076 JOHNSTON RD Address: 302 MELTON DR City: FORT PIERCE State: FL City: FORT PIERCE State: FL Zip Code: 34951 Fax: Phone No. 772-579-8243 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 E-Mail: NADINE@JATAYLORROOFING.COM from the Owner listed above) State or County License: CCC 1325895 It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ,SUPPLEMENTAL -CONSTRUCTION LIEN,L"A1N INFOWATION: , DESIGNER/ENGINEER: x Not Applicable, MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone.'' Zip: . . Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit., St. Lucie Counter 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'mOst be recorded and posted on the jobsite before the first inspection. If,yyou intend to obtain financing, consult with I gr an attorney before commencine � workrecor fiR vour Notice of Commencement. �// _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF STLUCIE The f9r going instru ent as knowledged before me this oOday of Q2 20 L-1by Signature oTtmllractor STATE OF FLORIDA COUNTY OF STLUCIE rise The forgoing instru nt as a knowledged before me this o�day of n 20 JJby KYLE WHITE KYLE WHITE (Name of person acknowledging) (Name of person acknowledging ) of Notary Public- State of Florida ) Personally Known x Type of Identification Commission No. FF s3soso Revised 07/15/2014 OR Prod \�1��iftfVy� iced . aPV ;;eCinel _ . Ai_ tz V(Yfiber 15,? 9•• eal) % cw In•n7A (SVaTu a of Notary Public- State of Florida ) Personally Known x OR Produced\o 1j(lbj_ Type of Identification Produced ...... A Jy. p�A�jiy,�, 9 T Commission No. FF 936050 * : ' o�r is � •'o :iq• 6 _ rin ► �pi�►lile �►����� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS