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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater 11 1`# Permit Number: SCANNED RECEIVED S�p�QPe�P�ico�i APR 112018 Building Permit Application Planning and Development Services 57. 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 PROPOSED'IMPROVEMENT LOCATION; Address: 10619 PINE NEEDLE DRIVE, FORT PIERCE Legal Description: PINE HOLLOW - UNIT TWO - LOT 22 Property Tax ID #: 2321-802-0024-000-8 Lot No. Site Plan Name: Block No. Project Name: KIMMELMAN/R Setbacks Front DETAILED DESCRIPTION JF WORK` .� ". Right Side Left Side: 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 UNDERLAYM.ENT. CONSTRUCTION INFORMATION rill-0--n- al work to be nerforme under this permit —check all that apply: 11HVAC Gas Tank ❑Gas Piping _ Shutters O Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator W1 Roof 5/12 Roof pitch Total Sq. Ft of Construction: 5,300 Cost of Construction: $ 19,250 S Ft. of First Floor: 2,764 Utilities:cnSewer Septic Building Height: 1 STORY OWN.EOLESS.EE: , ' ' 'CONTRACTOR: Name SCOTT & STEPHANIE KIMMELMAN Name: KYLE WHITE Address: 10619 PINE NEEDLE DR Company: J.A. TAYLOR ROOFING INC Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34945 Fax: City: FORT PIERCE State: FL Phone No. 772-812-1766 Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E-Mail: KIMMELMANCREW@BELLSOUTH.NET E-Mail: NADINE@JATAYLORROOFING.COM Fill in fee simple Title Holder on next page ( if different 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. ;,SUPPLEMENTAL`CONSTRUCTIO LIEN LAVU INFORMATIONJ ,:. .td Dv.xrv,7 Y r �'.„. w..rd+..eU`ia :3'M z'.. ,r,5 ,lL j m,Y nintl. 5'�.ik .rwt •4'tYb m'`...,., lopi, _ •.�aA" g DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: At -Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ of Applicable 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. i 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 Horne 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,ithe 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 post& on the jobsite before the first inspectio u intend to obtain financing, consult with lender or rney before commencing work g your 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 before before me The forgoing instrument was acknowledged efore me this 9TH day of APRIL 20�p by i this 9TH day of APRIL , 20 I Eby 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 �E�919 i f i Ni///!! d`�oN9B 1111N61p!!/� ,NE MIO )6an� i� Ig (nature of Notary Public- State of Flo_3ida J'Q "�,bor fS?o°9�.. , (Si nature of Notary Public- State of Fienw-f d s Commission No. FF936050 W45 a1) ° ® Cn ommission No. FF936050 v alj 050 #F 936050 o�U�•°�id•�rNo�tse`&e �c�°� •� Q` `o:��OQ�O A°:��NotarySx ./ REVIEWS FRONT ZONING BtIC°SiP'� see°° YJf#ifR4 %R PLANS VEGETATION ��!!B SEA TURTL� 11! IA9 ��\°° MRNGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED tev. 8/2/17