HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SGAN{NED Permit Number:
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Building Permit Application MAY 1 6 7018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof I
PROPOSED IMPROVEMENT•LOCATIONF F
Address: 8003 PACIFIC AVENUE, FORT PIERCE
Legal Description: LAKEWOOD PARK -UNIT 4-BLK 32IFROM NW COR BLK 32 RUN N 89 DEG 53 MIN E 132.87FT FOR POB, TH CON N 89 DEG
53 MIN E 85FT, TH S O DEG 07 MIN E 150FT, TH S 89 DEG 53 MIN W 25FT, THE N 50 DEG 19 MIN W 78FT, NO DEG 07 MIN W 10OFT TO POB
Property Tax ID #: 1301-604-0124-370-0 Lot No.
Site Plan Name: Block No.
Project Name: MARYS / REROOF
i
Setbacks Front Back: Right Side: Left Side:
I
DETAILED DESCRIPTIOWOF WORK
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN EDGE-LOC 1 "SS METAL PANEL
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF -ADHERED
UNDERLAYMENT. ON FLAT PORTION INSTALL POLYGLASS (W-140) 2-PLY.
CONSTRUCTION INFORMATION
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Additional work to be nertormed under this permit —check a apply:
0 HVAC _Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric El Plumbing OSprinklers Generator W1 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 3,600
Cost of Construction: $ 15,195
S Ft. of First Floor: 1,414
Utilities:lnSewer Septic Building Height: 1 STORY
OWNER/LESSEE ,.
°CONTRACTOR.'.'
Name MARY'S REAL ESTATE INVESTMENT LLC
Name: KYLE WHITE
Address: 2812 S 10TH ST
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Address: 302 MELTON DRIVE
Zip Code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No. 772-201-9049
Zip Code: 34982 Fax: 772-468-8397
E-Mail: RMANNPAINTING@ATT.NET
Phone No. 772-466-4040
Fill in fee simple Title Holder on next page (if different
E-Mail: NADINE@JATAYLORROOFING.COM E.
from the Owner listed above)
State or County License: CCC1325895
IT vaiue oT construction is :�ZSOU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSRUCTtO LIEN��LAW,INFORMATION
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
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.
St. Lucie County makes no representation that is grranting 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, 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 financing, consult with lender-orttorn7 before
commencing; yce-dr-Ur re brding vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 14TH day of MAY 20_ by I
this 14TH day of MAY , 20_ by
KYLE WHITE
KYLE WHITE
Name of person making statement j
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
MANgFs®vs✓�
Produced �i1B9!!ON/
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sober 1ST O9 o e
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( ',nature of Notary Public- State offloriti ) ®® `� „ a
(Sig ature of Notary Public- State ofill{�r1d-d
• 936050
Commission No. FF936050 `'%1- o S� ;�pTe
FF936050 "2' �936 j Commission No. a Seel 050
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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