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Building Permit Application
i ALL APPLIC, BLE INFO Ill BE COMPLETED FOR APPLICATION TO BE ACCEPTED ©a Date: 0 ` �. Permit Number: p l� ,4 y r;�v,! e �.-+;r ,• Ian:...; p. _ ,.. !.'s (, x.'� ' Building. PermitApplication AUG 0 9 29197 Planning and Development Servicos Building and Code Regulation Division 9 I Sr. Lucie C,eunt�: L 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION' FOR: Roof PRO.POSED'iMP,"ROVEMENT,ALOCATION Address: 00OU MUN i cuU LAMULc, r-UH i VILHIL t Legal Description: OCEAN RESORTS COOPERATIVE SITE 361 Property Tax ID #: 1410-502-0361-000-1 Lot No._ Site Plan Name: Block No. Project Name` ENGLISH / REROOF ; Setbacks Front Back: :. Rigkt.Side: Left Side: DETAILED DESCRIPTION OF WO"AKPw II TEAR OFF SHINGLE, RE -NAIL DECK. -INSTALL NEW 'JAITAYLOR ROOFING 5V CRIMP METAL PANEL ROOF SYSTEM OVER OWENS :CORNING WEATHERLOCK TILE &METAL UNDERLAYMENT. (118Q / 3/12 PITCH) , . . . , 1 1 1 1. Aaairional worK i0 oe erTorme•a .unaer tnis permit,—, cneCK all,• apply: E1HVAC _ Gas Tank ❑Gas Piping _ Shutters [] Windows/Doors 11 Electric Plumbing Sprinklers Generator W1 Roof Total Sq. Ft of Construction: 1,100 S Ft. of First Floor: 941 Cost of Construction: $ 8,860 Utilities: Sewer E]Septic Building Height: 1 STORY OUI/NER/LESS„EE :, Y CONTRACTOR IN , . Name TOM & SHARON ENGLISH Name: KYLE WHITE Address: 5339 MONTEGO CIR Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FIL Address: 302 MELTON DR City: FORT PIERCE State: FL Zip Code: 34949 Fax: Phone No. 772-589-4327 Zip Code: 34982 Fax: 772-468-8397 E-Mail: JLAVERACKQAOL.COM Phone No. 772-466-4040 E-Mail: NADINE@JATAYLORROOFING.COM Fill in fee simple Title Holder on next page ( if different State or County License: CCC 1325895 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAINSIUFOR(VIATIpN: , DESIGNER/ENGINEER: ! "x No,� Applicable MQRfi,GAGE'COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone! FEE SIMPLE TITLE -HOLDER: Name: Address: City: Zip: Phone: _ x Not Applicable !BONDING COMPANY I Name`. I I•I Address: City:' -- Zip: Phone: I I I certify that no work -or installation has commenced prior to the issuance of a permit. x Not Applicable St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this reque$ted permit; I do hereby a ree that I;will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and t. 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 p erty. A Notice of Commencement must b;rec d a posted on the jobsite before the first ins Ion. Jgou intend to obtain financing, consult ende r an attorney before commencin or reco/difie? vour Notice of Commencement. _ Signature of Owner/ Lessee/Agent ,,, Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The f r oing instruDTnt was ack, owledged before me this day of 20(�by The for ing instrum t was ackn wledged before me this day of 20 by KYLE WHITE KYLE WHITE (Name of person acknowledging) Vi.1thature (Name of perso acknowledging) of Notary P bli - State of Florida) (Sig ture of Notary Public- State of Florida`,�,�011111111///� ��\�11111111N/il���� O1NE Personally Known x OR Produc�i�T Personally Known x OR Produc4 Icwt�g@ IraFS� Type of Identification Produced �����Q' • S4�SSION c' %�� Type of Identification Produced �Lber �s Ef� .'per et 1S al) ?O{v N•:*2 _s=oo aol9T� *' Commission No. FF936050 :g( Commission No. FF936050 (Seai)•� * : _ :� #FF 936050 F 936050 •o. i • .�i e0rbed�ti�N . • pQ\ 4/� .. ..........•�O\��� Revised 07/ 15/2014 %q�/'pU •.e..... ` ��� �����!ii �1�\\0N /i., BUC. SI A ,.a� liiii REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I ,,, , y, • r