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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J 2
Date: Permit Number: / .O`f s
Building Permit ApplicatioRECEI
VED
Planning and Development Services
Building and Code Regulation Division NOV 6
2300 Virginia Avenue, Fort Pierce FL 34981 2017
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial idential x
ermltti
PERMIT APPLICATION FOR: Roof St. Lucie County, FL
PROPOSED" , P�ROVE11/�ENT.LOj',T1ON
Address: 9433 POINCIANA COURT, FORT PIERCE, FL
Legal Description: MEADOWOOD UNIT ONE LOT 38
Property Tax.ID #: 1334-50370040-000-5
Site Plan Name:
Project Name: AVRETT RE -ROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.38
Block No.
?
DETAILED DESCRIPTIONm17FWtRK� ��.
TEAR OFF TILE ROOF. RE -NAIL DECK. INSTALL JA TAYLOR ROOFING 1" EDGE LOC ROOF
SYSTEM OVER OWENS CORNING TILE & METAL UNDERLAYMENT. (6 / 12 )
Aaamonai wom to pe errormeo unoer tnis permit— cnecK all apply:
E1HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 4000 S . Ft. of First Floor: 1729
Cost of Construction: $ 20495 Utilities:cn Sewer Septic Building Height: 1 STY
'
OWNE;RJLESSEE a, ,,
k A v ry�6 x
,CONTRACTOR M
NameJAMES AVRETT
Name: KYLE WHITE
Address:9433 POINIANA COURT
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
City: FORT PIERCE State. FL
Phone No.772.464.8459
Zip Code: 34982 Fax: 772-468-8397
E-Mail:
Phone No. 772466-4040
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 'LIEN LAW INFORMATIONS
g
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 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordine vour Notice of Commencement.
_ Sigriature of Owner`/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The fo going instirpritt w s ac owledgedb fore me
this � day offNN�OJJ 20 I by
KYLE WHITE --
(Name of! person acknowledging)
(Sig at re of No at riy Public- tate f Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No. 00063270
(CIE J DELGADO
* MY COMMISSION # GG 063270
re
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was cknowledged before me
this 2—day of Ndove-n 20 Z by
KYLE WHITE
(Name ,f person acknowledging
7 )
(Skaature of Aotary Publ c- St to of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. 00063270 (Seal)
Revised 07/ 15/2014 9jF0;\o 80�� rnN Budget Notary SeNkes * * MY COMMISSION # GG 063270
Ile"
EXPIRES: May 14, 2021
le"'6' c` Bonded Thru StidnAt NnNry SanAroc
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