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ILL APPLICABLE INFO MUST BE COMPLETED FOR..APPLICATION TO BE ACCEPTED
'Date: Permit Number:
SCANNED
BY RECEIVED
St. Lucie County
Building Permit Application JUL 0 3 1018
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
PROPOSED INIPRO,VEIVIENT.LOCATION9`u- �` j�
3217 BENT PINE DRIVE, FORT PIERCE
Description: MONTE CARLO COUNTRY CLUB - UNIT ONE - LOT 34
Property Tax ID #:
Site Plan Name: _
Project Name:
Setbacks Front
3217-801-0038-000-1
WESS/REROOF
Back: Right Side: Left Side:
Lot No.
Block No.
L7ETAILE,D DESCRIPTION OFW RK
A,� $s.m �; U, ., .,� a � ., <✓�� A � .,Y'x�.«. Y�.:`��'x„,.� ��,u"�w . s�tr,-r. �v.�F ..�„it: im i�'uwm,, tie., k,F c, �ia.d'm ow ,�, d w �„rv, a��. '�oM,x r . � :4 >� � ro�
TEAR OFF TILE, RE -NAIL DECK. INSTALL NEW PETERSEN EDGE-LOC METAL PANEL ROOF
SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF- ADHERED
UNDERLAYMENT.
CONSTfUCTION
I S ''� (
INFORMATION.
Additional work to e performed under
this permit - check
a
apply:
E1HVAC0
Gas Tank
Gas Piping
_
Shutters
Q Windows/Doors
11 Electric 0 Plumbing
Sprinklers
F Generator
Z Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 5,100
S . Ft. of First Floor: 5,725
Cost of Construction: $ 27,540
Utilities:n
Sewer E]
Septic
Building Height: 1 STORY
OWNER/LESSEE fl
CONTRACTOR
Name JERRY & JOYCE WESS
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 3217 BENT PINE DR
City: FORT PIERCE State: FIL
Zip Code: 34951 Fax:
Phone No. 276-971-6382
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: JERRYALLENWESS@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPF�MENTACONSTR'UCTIONLM�ENy LAW INFORM�►TION
.� .
R
DESIGNER/ENGINEER: _
Name:
of Applicable
MORTGAGE COMPANY: NptApplicable
Name:
Address:
Address:
City:
State:
City: State:
ZIp: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Nlame:
Address:
Not Applicable
BONDING COMPANY: _ of Applicable
Name:
Address:
C;,ty:
City:
Zip: Phone:
ZiIp: 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
stricture. 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 perty. A Notice of Commencement must be recorded and posted on the jobsite
before the first i ion. If you intend to obtain financing, consult with lender n attorney before
commenci ark recording your Notice of Commencement.
I
'1
Signature
of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE
OF FLORIDA
STATE OF FLORIDA
CIaUNTY
OF STLUCIE
COUNTY OF STLUCIE
The
forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this
25TH day of JUNE 2�_ by
th15 25TH day of JUNE 20_ by
KYLE
WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Idertq�fiation
Personally Known xx OR Produced Identification
Tye of Identification a@;?a91' 9r aPYg6��66
Type of Identification
Produced �� hv� SS oN..?I ��sr
O�cn
Produced y�Ct1119l91PPPO/Bd
Z o cp;�bor is2
a
_ Nq�O���MANR�S,"1111�i
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(Signature
of Notary Public- State o€ Fl4rida;); F 936050 moz`
(Sig ture of Notary Public- State o Floin
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CO,
4rO� ° BG�,drndad\K�•�y� pQ`
mission No. FF936050 9r�s9 @ }jdotarySo;�O�QaOev
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Commission No. FF936050 (S r 113n050 : Q�
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
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MGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
73- 1
DAME
COMPLETED
,
Rev.'!';8/2/17