HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i CIA
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Building Permit Applicati pn MAY 16 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lug C nty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof
Address: 8260 SANDPINE CIRCLE, PORT ST LUCIE
Legal Description:
LAKE LUCIE ESTATES PLAT NO. ONE LOT 21 . i
Property Tax ID #: 3426-703-0035-000-9
Site Plan Name:
Project Name: WUEST/ REROOF
Setbacks Front Back:
ht Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN EDGE-LOC V SS METAL PANEL
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF -ADHERED
UNDERLAYMENT.
Haamonai worKto De errormea unaertnis permit—cneck all apply:
11HVAC _ Gas Tank []Gas Piping In _ Shutters Q Windows/Doors
11 Electric Plumbing ❑Sprinklers [ Generator W1 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 3,600 S Ft. of First Floor:.1,776
Cost of Construction: $ 14,800 Utilities:1n Sewer []Septic Building Height: 1 STORY
OWNER/LESSEE
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CONTRACTOR,
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Name DAVID WUEST
Name: KYLE WHITE
Address: 8260 SANDPINE CIR
Company: J.A. TAYLOR ROOFING INC
City: PORT ST LUCE State: FL
Address: 302 MELTON DRIVE
Zip Code: 34952 Fax:
City: FORT PIERCE State: FL
Phone No. 772-370-9398 r
Zip Code: 34982 Fax: 772-468-8397
E-Mail: DJWUEST69@GMAIL.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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i
SUMP E E TAB CONSTRU I N LI>EN LAW 1 ,t= TI4N:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
BONDING COMPANY: _ of Applicable
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 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 inspectioyy��.. If you intend to obtain financing, consult with lender or n attorney before
cnmmeneinv work c�eddrdine your Notice of Commencement. !W
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 me
The forgoing instrument was acknowledged before me
this 14TH day of MAY 20_ by
this 14TH day of MAY 20_ by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Idiilfii��jq�
Personally Known xx OR Produced Identification
Type of Identification ®®6^.�`�NEMAN/F�66fi�
Type of Identification
Produced m®°��P��gSIO/y�'Sq s~fr,,
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Produced;�aE�4444311IH1i,����o
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(Si nature of Notary Public- State oUlerula pFF93bubu ' o¢
(S' nature of Notary Public- State of Fl ridgy )` _ �•® N o i4
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Commission No. FF936050 �Commission
No. FF936050819
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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