HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ
APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (/
te: G(CANNED Permit Number:
BY
r , St: Lucie County RECEIVED
Building Permit Application JUL 2 3 2018
ing and Development Services Permitting Department
ng and Code Regulation Division
St. Lucie Counr,
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
ress: 4903 MATANZAS AVENUE, FORT PIERCE.—(HOU
iI Description. HARMONY HEIGHTS ADDN BLK F LOTS 8,9 AND 10
PropertyTax ID #: 1431-701-0070-000-0
Sitle Plan Name:
Pr II ject Name: SIMMONS / REROOF
S "backs Front Back:
Right Side: Left Side:
Lot No._
Block No.
TEIIAR OFF SHINGLE AND ROLL ROOFING, RE -NAIL DECK. INSTALL NEW JA TAYLOR
R �!� OFING EDGE-LOC METAL PANEL ROOF SYSTEM (37SQ) OVER OWENS CORNING
WEATHERLOCK TILE & METAL UNDERLAYMENT. ON FLAT PORTION INSTALL POLYGLASS
dditional work to bj rtormed under this permit— check all mat apply:
tF1HVAC LJ Gas Tank Gas Piping _Shutters L1 Windows/Doors
hlectric ❑ Plumbing Sprinklers Generator W1 Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 4,600 S . Ft. of First Floor: 3,174
Clost of Construction: $ 19,700 UtilitiesInSewer Septic Building Height: 1 STORY
lil
e WVN RJI ESSLEO
CONTRACTOR:
Name
WILLIE & ANGERLON SIMMONS
Name: KYLE WHITE
4903 MATANZAS AVE
Company: J.A. TAYLOR ROOFING INC
�I)ddress:
ity: FORT PIERCE State: FL
Address: 302 MELTON DRIVE
flip Code: 34946 Fax:
City: FORT PIERCE State: FL
P
one No. 772-293-1415
Zip Code: 34982 Fax: 772-468-8397
-Mail: SLIMJEN@BELLSOUTH.NET
Phone No. 772-466-4040
Fill
in fee simple Title Holder on next page ( if different
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
fllom
the Owner listed above)
e of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SU�PLEM�EN11LC0�1�STIUCTION�LIkENLAkW INORMATION
DESIGNER/ENGINEER: _ LoO'Not Applicable
MORTGAGE COMPANY:
of Applicable
NJl�e:
Name:
_
Address:
Address:
City: State:
City:
State:
ZI: Phone
-II
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
of Applicable
_
NJime:
Name:
_
A8idress:
Address:
Ci IV:
City:
Zip: Phone:
Zi Phone:
PI
VER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
:ify that no work or installation has commenced prior to the issuance of a permit.
cie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
i is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
ture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
isideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
:ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
allowing building permit applications are exempt from undergoing a full concurrency review: room additions,
sory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
tNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
'ovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
re the first ins ection. If you intend to obtain financing, consult with lender or an attorney before
mencingWe o/jecording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contrac or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
Cr LINTY OF STLUCIE
COUNTY OF STLUCIE
Tf forgoing instrument was acknowledge efore me
The forgoing instrument was acknowlecig efore me
,
this 18TH day of JULY ZQ�Yby
this 18TH day of JULY 2Q)?by
YLE 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
The
of Identification
Type of Identification ��g�ypi!!!lPPd,Og6®
Produced
o0y1c11!!lPPIa
Produced y°i��p�P1i: MANR�c 1&
P'Sxv�E
sI
�.
or
S�'o��9r o 0
(
ature of Notary Public- State ofll%riii`a J;� �� <Cn ; a
Si ature of Notary Public- State of RbFic{a )
III
Commission
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No. FF936050 ®C J§eaf)"F936050 : `
, o 4FF 936050
Commission No. FF936050 y�� R' �R�Bd��N' s •QO�
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EVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
D',
TE
RECEIVED
D�1
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COMPLETED
8/2/17