HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: / RED
d ! j MAR 19 2a
- — Permitting Department
Building Permit Application St. Lucie County
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 XX
PERMIT APPLICATION FOR: Roof
REPOSED IMFR01lEIVILNTL(7CA1-ION=,'.
ye ZVI, fi� z < k
Address: 4941 SEARS STREET, FORT PI
Legal Description: 19 35 40 FROM NE COR C
CONT W 120 FT, TH S 105 FT, TH E 120 FT, "
Property Tax ID #: 2419-341-0027-000-5
Site Plan Name:
Project Name: CANO/RE-ROOF
Setbacks Front Back:
NE 1/4 OF SE 1/4 OF SW 1/4 RUN S 555 FT TH W 33 FT TO POB, TH
N 105 FT TO POB
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. '' INSTALL NEW PETERSEN 1 "SS METAL PANEL ROOF
SYSTEM OVER 30# FELT UNDERLAYn ENT.
Aaamonai worKto oe ertormed undertnis permit —check all apply:
OHVAC E] Gas Tank FIGas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing 0S rinklers F Generator W1 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 1,800 Sq.
of First Floor: 1,020
Cost of Construction: $ 7,850.00 Utilities: EI Sewer Septic Building Height: 1 STORY
01IUNEI3' ESS'EE TMi>
: }.
Name ARMANDO CANO JR
Name: KYLE WHITE
Address: 4941 SEAR ST
Company: J.A. TAYLOR ROOFING INC
City: FT PIERCE St
te: FL
Address: 302 MELTON DRIVE
Zip Code: 34954 Fax:
City: FORT PIERCE State: FL
Phone No. 772-579-2225
I
Zip Code: 34982 Fax: 772-468-8397
E-Mail: MONDOBEOND044®AOL.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: CCC1325895
IT value or construction is :�csuu or more, a KtcoKDro Notice of commencement is required.
0u:�ebNm'krM9' a �a*,«:
DESIGNER/ENGINEER: _ Not Applicable
...
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MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appli
able
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 pr for 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 APoclation 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 Buil ling Codes and St. Lucie County Amendments.
The following building permit applications are exempt 11 rom undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, sins, 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 C mmencement must be recorded and posted on the jobsite
before the first insp . If you intend to obtain financing, consult with lender o attorney before
commencing use=rding Vour Notice oi Commencement. 11-, //
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Cont or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 13 day of MARCH 20_ by
this 13 day of MARCH 20_ by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identificatio
Personally Known xx OR Produced Identification
Type of Identification
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Type of Identification
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Produced ��ot>� \N� MAh
9 Aa���
Produced
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�NIISSION°
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(Sigkture of Notary Public -'State of FIFN J)
®(S' nature of Notary Public- State of F9&dj
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Commission NO. FF936050 air;,,, eowedlhN•
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Commission No. FF936050 s� • AdedlhN. s °���
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REVIEWS
FRONT
ZONING
SUP
RVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17