HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,
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ALL APPLICABLE INFO MUST BE COMPLETED FOR
Date: �•) ' I • I O Qr.
3UMT� St Lude
L 10
B I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 C
PERMIT APPLICATION FOR: Roof
Address: 4715 SUNSET BLVD, FORT PIERCE
Legal Description: INDIAN RIVER ESTATES - UNIT 07 -
Property Tax ID #: 3402-608-0101-000-7
Site Plan Name:
Project Name: CLARK / REROOF
Setbacks Front Back:
Right
CATION TO BE CEPTED
ED eCm t Number:
?Un$y RECEIVED
rmit Application MAY 112018
ST. Lucie County, Permitting
mercial Residential xx
40 LOT 26
Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER 30# FELT LINDEIRLAYMENT.
Additional work to be nertormed under this permit— c e'c a apply:
0HVAC I _I Gas Tank []Gas Piping _ Shutters []Windows/Doors
0 Electric 0 Plumbing []Sprinklers l Generator W1 Roof 4/12 Roof pitch
Total Sq. Ft of Coristruction: 1,900 S . Ft. of First Floor: 945
Cost of Construction: $ 7,200 Utilities: — Sewer Eheptic Building Height: 1 STORY
�OWNERLE5SEE 1 g
coNTRAcroR
,t
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Name GENEVA CLARK�
Name: KYLE WHITE
Address: 4715 SUNSET BLVD
Company: J.A. TAYLOR ROOFING INC
P
City: FT PIERCE State: FL I
.Address: 302 MELTON DRIVE
Zip Code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No. 407-947-5460
Zip Code: 34982 Fax: 772-468-8397
E-Mail: STEVE@CAMPBELLRENOVATIONSINC.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
it VdnuC ui cunsiruction is ,?c.7uu or more, a KLLUKutu Notice of commencement is required.
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SUPPLEMENTAL CONS&FTRUCTIQN LIENrLAW4INFORlIATIONr,
DESIGNER/ENGINEER:
_ of Applicable
MORTGAGE COMPANY:
t 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: I
I
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 priorto 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, Ido 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 Na
improvements to ur property. A Notice of Com
before the firs ' pect'on. If you intend to obtair
commenci ork or cording your Notice of Co
:ice of Commencement may result in your paying twice for
nencement must be recorded and posted on the jobsite
financing, consult with lender or anAtorney before
nmencement.
Signature of Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
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 10TH day of MAY 20_ by
this 10TH day of MAY 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 Identification
Type of Identification 0%%%11IIIII111JJf/,
Type of Identification
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Produced
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DATE
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DATE
COMPLETED
tev. 8/2/17