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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I 1 Date: Permit Number: Building Permit Application RECEVED Planning and Development Services Building and Code Regulation Division NOV.: 2 2300 Virginia Avenue, Fort Pierce FL 34982 ZU17 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential —%W44=FWG PERMIT APPLICATION FOR: St. Lucie County, Roof PRQPt?ED 1M RO EMEN 11 Address: 9422 POINCIANA COURT, FORT PIERCE ' ILegal Description: MEADOWOOD UNIT ONE LOT 10 Property Tax ID #: 1334-503-0012-000-0 Site Plan Name: Project Name: SPONENBURGH/ REROOF Setbacks Front Back: Right Side Left Side: Lot No. Block No. TEAR OFF TILE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL UNDERLAYMENT (6/12 PITCH) Additional work to be nertormed undertnis permit —cnecK all apply: E1HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers Generator W1 Roof Total Sq. Ft of Construction: 4,400 S Ft. of First Floor: 3,530 Cost of Construction: $ 24,260.00 Utilities. Sewer E]Septic Building Height: 1 STORY QWNE LES5 =E,. CCI TRACTOR: Name NORMAN SPONENBURGH Name: KYLE WHITE Company: J.A. TAYLOR ROOFING INC Address: 9422 POINCIANA CT City: FT PIERCE State: FL Address: 302 MEL'TON DR Zip Code: 34951 Fax: City: FORT PIERCE State: FL Phone No. 772-489-6132 Zip Code: 34982 Fax: 772-468-8397 E-Mail: Phone No. 772-466-4040 E-Mail: NADINE@JATAYLORROOFING.COM Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License: CCC 1325895 I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLE ENTAL C©NSTRU1'ION LIE ` LAW IN.FC#R�MATIOIV: DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: x Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: x Not Applicable 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 inspe��Ion If you intend to obtain financing, consult with lender or an alto ney before commencing; worms&re�din>? vour Notice of Commencement. � _ Sigrfature of Owner/ Lessee/Agent Signature ofContfaetsyi�ense Holder---- STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The forgping instr me t was ack owledged before me thisday 0 17by The for oing ins ment was acknowledged before me this day 20 by of of_--F KYLE WHITE KYLE WHITE (Name of person acknowledging) (Name of person acknowledging ) (S' nature of Notary Public -State of Flor\\`jNE MAAIRF°ji, (Si ature of Notary Public- State of Florida ) Personally Known x OR Produce Id e i��o% Personally Known x OR Producei � �41zy,� Type of Identification Produced v oae o o Type of Identification Produced _�N �....... w6✓i _ • Commission No. FF 936050 = �$eal #FF936050 ; Q` Commission No. FF 936050 /,/e///�// Olt{1619 e�\\`\� i 9' �4 5p ' Q Revised 07/15/2014 ��A•;�iN thO Qo,�� oi l 111�\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS