HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 3-26-18ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
SCANNED
BY
St Lurip NOW
Building Permit Application
Planning and Development Services t
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-157
PERMIT APPLICATION FOR: Roof 1
Address: 9435 POINCIANA COURT, FORT PIERC
Legal Description: MEADOWOOD UNIT ONE LOT
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MAR 281D18
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Commercial . Residential xx
Property Tax ID #: 1334-503-0041-000-2 1
Site Plan Name: 1
Project Name: JOHNSON/REROOF
1
Setbacks Front Back: Right Side:
TEAR OFF TILE, RE -NAIL DECK. INSTALL N
SYSTEM OVER OWENS CORNING WEATHE
E1HVAC U Gas Tank
11 Electric ❑ Plumbing
Total Sq. Ft of Construction: 41000
Cost of Construction: $ 23,495
Lot No.
Block No.
Left Side:
PETERSEN EDGE-LOC METAL PANEL ROOF
ICK TILE & METAL UNDERLAYMENT.
❑Gas Piping Shutters Q Windows/Doors
Sprinklers 0-Generator W1 Roof 6/12 Roof pitch
S . Ft of First Floor: 1,729
Utilities: Sewer E]Septic Building Height: 1 STORY
OWNER/LE�S�SEE:
Cv NW RACTOR:
Name BILLY & NINA JOHNSON
Name: KYLE WHITE
Company; J.A. TAYLOR ROOFING INC
Address: 161 MOUNT HOLLY RD
City: AMELIA State: OH
Address: 302 MELTON DRIVE
Zip Code: 45102 Fax:
City: FORT PIERCE State: FL
Phone No. 513-824-5097
Zip Code: 34982 Fax: 772-468-8397
E-Mail:
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is'required.
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: I State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: '"Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: C et Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: tAgot Applicable
Name:
Address:
City:
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,Asscciation 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
i
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 ins p you intend to obtain financing, consult with lend a�� rney before
commencing w or re dipg your Notice''of Commencement. //
'0,
Signature of Owner/ Lessee/Contractor as Agent for owner
Signature of Contractor/License Holder
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF STLUCIE I
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before men,
The forgoing instrument was acknowledged before me
this 22 day of MARCH 20_ by
this 22 day of ARCH 20_ 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 Identify' 11011/_
Type of Identification
Type of Identification `��\\° PO��•�!9�cd0°e,`
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Produced q;,�e� �N�MAN,gFs°✓sd
Produced ro �0��.�1sSlo4 s9
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nature of Notary Public- State of FI�kiO
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ig ture of Notary Public- State of Flo otcfy}, dBondedthN.
fF936050 Q:
Commission No. FF936050 {��d�ndedtSec°° OQ�
Commission No. FF936050 (�IC
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REVIEWS
FRONT'
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17