HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL f
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED�//'� �p�-/
SCANNEE) Permit Number: l �V� - br a �p
BY
REMVED
Building Permit Application JUL 9 3 70
ing and Development Services
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial
10
Permitting Department
St. Lucie. Coun*,
Residential xx
PER'',�ITAPPLICATION
FOR: Roof
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3325 SUNRISE BLVD, FORT PIERCE
Legal, 'i ascription: MARAVILLA HTS BLK F S 100 FT OF FOL DESC PROG: FROM NW COR OF LOT 1 RUNS 87 DEG 54 MIN 40 SEC E ALG N Li
OF LO 1 130 FT, TH SO DEG 17 MIN 43 SEC W 205 FT TO POB, TH CONT S 0 DEG 17 MIN 43 SEC W 200 FT, TH S 89 DEG 42 MIN 17 SEC 3 TO W RAN AND MORE
Propl'rty Tax ID #: 2428-601-0258-000-8 Lot No.
Site i an Name: Block No.
Proj t Name: STARLING/REROOF
Setbl cks Front Back: Right Side: Left Side:
TEA OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PAN L ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
UND� RLAYMENT.
Addl, tonal work to be nertormed
HVAC LJ Gas Tank
Electric ❑ Plumbing
Total q. Ft of Construction: 4,500
Cost if Construction: $ 16,000
er tnis permit — cnecK all apply:
In
❑Gas Piping _ Shutters D Windows/Doors
❑Sprinklers ❑ Generator W1 Roof 4/12 Roof pitch
S Ft. of First Floor: 3,048
Utilities:nSewer ❑Septic Building Height: 1 STORY
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�! t
T ACOR r�
Name
Address:
BONNIE L. STARLING
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
3322 SUNRISE BLVD
FORT PIERCE State: FL
Address: 302 MELTON DRIVE
City: ,'
Zip i
34982
l de: Fax:
FORT PIERCE FL
City: State:
Phon;
No. 772-216-8225
Zip Code: 34982 Fax: 772-468-8397
I: BBSTARLING@AOL.COM
E-M c
Fill in
Phone No. 772-466-4040
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 valug oT construction Is: zZWU or more, a RECORDED Notice of Commencement is required.
City State: City: State:
Zip:i Phone Zip: Phone:
IMPLE TITLE HOLDER: l III Applicable I BONDING COMPANY: VNot Applicable
e:
Ad
Zipt�� Phone:
Name:
Address:
City:
Zip: Phone:
OW i ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certthat no work or installation has commenced prior to the issuance of a permit.
St. LuI. a County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which' s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct re. 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, l.do hereby agree that I will, in all respects, perform the work
in acci Irclance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The f' lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acces Dry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAS ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imps vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo, 14he tfirst i ction. If you intend to obtain financing, consult with lender or an attorney before
com l enci or r recording your Notice of Commencement. /J- A
Sign"i
ture of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
I
ST .
I
E OF FLORIDA
STATE OF FLORIDA
CO
NTY OF STLUCIE
COUNTY OF STLUCIE
The;
orgoing instrument was acknowledged efore me
The forgoing instrument was acknowledge�,pefore me
this''�6TH
I'
day of JULY 20 by
this 16TH day of JULY 20LiS by
KYL
t
WHITE
KYLE WHITE
1
I Name of person making statement
Name of person making statement
Personally
Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Typl III
1 of Identification
Type of Identification
Pro"
uced
Produced
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S' ature of Notary Public- State' F164
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ISSIOn NO. FF936050 �� o (S90936050 ;°Qo
Commission NO. FF936050 L 4050 o Q
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
ANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DA
REC'
IVED
DA
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PLETED
Rev. 8112/17