HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: �%,V\` 1� Permit Number:
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EMAldi llfM it Application
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 - q f
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Address: 4612 PINETREE DRIVE, FORT PIERCE
Legal Description: INIDAN RIVER ESTATES -UNIT 04 - E
Property Tax ID #: 3402-605-0060-000-8
Site Plan Name:
Project Name: FORBES/REROOF
Setbacks Front Back:
35 LOT 14
Right Side: Left Side:
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DETA[L ODE RIPTICI
OF WORK.
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF -
ADHERED UNDERLAYMENT.
['CONSTRUCTIQN;INFORMATION .., n; a * : ;
.. .
Additionalwore to be nertormed under this permit — check a app y:
�HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator W1 Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 3,600 S . Ft. of First Floor: 1,774
Cost of Construction: $ 13,120 Utilities: Sewer E]Septic Building Height: 1 STORY
C+UI(NER%LE5S,EE F
CONI"RACTO,R
Name STEVEN & KATHRYN FORBES
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 4612 PINETREE DR
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No. 772-579-0114
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
State or County License: CCC1325895
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI4¢fULIEN LAW (NFORMATIM�N^
DESIGNER/ENGINEER:
_ Not Applicable j
MORTGAGE COMPANY: _ Lo"Not
Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable I
BONDING COMPANY: _
of 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 per I it 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 aid 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 inspection If you intend to obtain finlancing, consult with I r �n attorney before
commencing work ordi vour Notice of Commencement.
Sign ure of Owner/ Lessee/Contractor as Agent for Owner I
i
Signa re o Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
I
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 9TH day of APRIL 120 It by
this 9TH day of APRIL 201g by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification I
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
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Produced ��,\�MANR6s ®e�/
Produced C���,i111111PEdl/�
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(S' nature of Notary Public- State of F_bH4 #i F 936050�q a°o
(Sigpiature of Notary Public- State of Flarrd
Commission No. FF936050Ud�tNo�Yad SaC;" <���\aa
?� FF936050
Commission No. FF936050bry
STAT
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17