HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a aa` �� 6CAWN Permit Number:
a"? RECEIVED
St Lucie, 0400y,
- - : FEB 2 2 2918
Building. Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof
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PROPOSED lMPROVEMEOCATI
Address: 2320 SNEED ROAD, FORT PIERCE (CONFIDENTIAL)
Legal Description: ROARKS GROVE LOT 5
Property Tax ID #: 2222-600-0005-000-5 Lot No.
Site Plan Name: Block No.
Project Name: HURTADO/REROOF
Setbacks Front Back: Right Side: Left Side:
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DETAI�EU�DECRP7IONOF WORK. >.�''
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TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW EDGE-LOC 1 "SS METAL PANEL ROOF
SYSTEM OVER SELF -ADHERED UNDERLAYMENT.
CONSTRUCTI.QN 1'NFQ.RM11,1I,ON
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Additional wor to e e orme under this permit — check a apply:
11
F]HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing O Sprinklers I Generator W1 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 4,800 S Ft. of First Floor: 4000
Cost of Construction: $ 21,960 Utilities:nSewer 0Septic Building Height: 1 STORY
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Name ANTONIO & REVA HURTADO
Name: KYLE WHITE
Address: 2320 SNEED RD
Company: J.A. TAYLOR ROOFING INC
�y: FT PIERCE State: FL
Address: 302 MELTON DRIVE
Code: 34945 Fax:
City: FORT PIERCE State: FL
e No. 772-204-5567
Zip Code: 34982 Fax: 772-468-8397
it:OCEAN1980@LIVE.COM
Phone No. 772-466-4040
fee simple Title Holder on next page (if different
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
the Owner listed above)
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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S'UPPLEMENTAL�°OL5N RU` TIONrL`IYEN "I, AN INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 insp to . If you intend to obtain financing, consult with le r ran a orney before
commencing w e>�rdinR vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledged efore me
f ?by
The forgoing instrument was acknowledged�, 'fore me
20 FEBRUARY
this 20 day of FEBRUARY 20
this day of
20 O by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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4i)a�ure
(Sfgnature of Notary Public- State lop'Der 15�,0 °i9•® �_
of Notary Public- State o_ Iola �ae�' s�o 9
Commission No. FF936050 e* : (Sealy
Commission No. FF936050
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REVIEW
REVIEW
DATE
RECEIVED
DATE
/
COMPLETED
Rev.8/2/17