HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST
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Date: 8GANNE Permit Number: f0J ' 05YO—)
BY
St Lucie CwS
Building Permit Application JAN 2 4 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PRO:POS"ED 1M(?,R01/E11&i�E�iVT
Address: 675 SE HIDDEN RIVER DRIVE, PORT ST LUCIE
Legal Description: HIDDEN RIVER ESTATES BLK 1 LOT 10
Property Tax ID #: 3427-701-0011-000-2
Site Plan Name:
Project Name: CATALDO/REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
ttS9R � s
FLAT PORTION ONLY ON 2ND FLOOR: TEAR OFF ROLL, ROOFING, RE -NAIL DECK. INSTALL
NEW POLYGLASS 3-PLY MODIFIED BITUMEN, TAPERED FLAT ROOF SYSTEM (4SQ)- VlI-sg
CONSTRUCTION lNFORIUTATION
... a
'be
A�ditionaI wor ton'erfor-med under
this permit - check
a apply:
EIHVAC Gas Tank
❑Gas Piping
_
Shutters
Q Windows/Doors
0 Electric ❑ Plumbing
Sprinklers
E Generator
W1 Roof
Total Sq. Ft of Construction: 400
S Ft. of First Floor: 3,752
Cost of Construction: $ 9,800
Utilities:lnSewer
Septic
Building Height: 2 STORY
OUVhIEREYM1�d �
jLES5 2
RA .m
Name GRACE CATALDO
Name: KYLE WHITE
Address: 675 SE HIDDEN RIVER DR
Company: J.A. TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL
Address: 302 MELTON DR
Zip Code: 34983 Fax:
City: FORT PIERCE State: FL
Phone No. 772-216-7888
Zip Code: 34982 Fax: 772-468-8397
E-Mail: DFRENCH2O4@YAHOO.COM
Phone No. 772-466-4040
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
it value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x—
Not Applicable
MORTGAGE COMPANY: x— Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced, prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls,lsigns, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with ��l
attorney before
commencing wo1kor recording your Notice'of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru ent was acknowledged,before me
this 212 day of 0.C\ . 20 Ja by
KYLE WHITE
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
0 %%1111111///
Personally Known x OR ProduoWIN$®kft�fyfj °!1.
Type of Identification Produced a� 9
;G� bare
Commission No. FF936050 :• �. al)
e z Q, rn
=o
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru ent was acknowledged before me
this Qladay of 20 J' by
KYLE WHITE
(Name of person acknowledging)
(Signature of Notary Public- State of Florida) v
eo0«11181 NOlO/®
Personally Known x OR Pr on
Type of Identification Produced C�Q:•`�,�ssl0nr '•q re��
or 1S�Oi °• d
Commission No. FF936050 r ggz (Seal a*
r _ #FF 936050 ; Q
v Revised 07/15/2014 J;NdedlhN s �s 9 •:��1 noea�setyE s.•�O o��
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