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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �AI�� Permit Number: -B iX RECEIVED i_UClec JUL 2 3 2098 Building Permit Application ing and Development Services Permitting Department and Code Regulation Division St. Lucie County 230 Virginia Avenue, Fort Pierce FL 34982 ,! Ph V e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX PER,, IT APPLICATION FOR: Roof 4.4 �. x to Addr' ss: 4903 MATANZAS AVENUE, FORT PIERCE�GA__R LegalDescription: HARMONY HEIGHTS ADDN BLK F LOTS 8, 9 AND 10 Prop iirtyTax ID #: 1431-701-0070-000-0 Lot No. Site illan Name: Block No. Proje t Name: SIMMONS / REROOF Setbl f cks Front Back: Right Side: Left Side: TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. Aaaipionai worK to be nertormed HVAC LI Gas Tank IC Electric Plumbing Total IS q. Ft of Construction: 1,000 Cost & Construction: $ 3,250 unaertnispermit— cnecKan apply: Gas Piping _ Shutters Sprinklers Generator S Ft. of First Floor: 700 Utilities:0Sewer 0Septic OWindows/Doors W1Roof 5/12 Roof pitch Building Height: 1 STORY Nam I WILLIE & ANGERLON SIMMONS Name: KYLE WHITE Address: 4903 MATANZAS AVE Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FL Address: 302 MELTON DRIVE Zip C 11de: 34946 Fax: City: FORT PIERCE State: FL Phone'l No. 772-293-1415 Zip Code: 34982 Fax: 772-468-8397 E-Mlliil: SLIMJEN©BELLSOUTH.NET Phone No. 772-466-4040 Fill i 4 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 valq'§ of construction is $2500 or more, a RECORDED Notice of Commencement is required V L w' � I � �> �. ~4R�. , �1 •.. N � .ri , t , DES Na Address: Cityl, iGNER/ENGINEER: _ Not Applicable ���e: MORTGAGE COMPANY: _C-,N-t Applicable Name: Address: City: State: Zip: Phone: III State: Phone �II FEE Nan Add City Zip. IMPLE TITLE HOLDER: L�-Not Applicable Ie: `ess: BONDING COMPANY: 4/Not Applicable Name: Address: City: 'lI Phone: II Zip: Phone: OWN' R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certii that no work or installation has commenced prior to the issuance of a permit. St. Luce County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which § in conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such struct 'i•e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In con! ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in acc ! -dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The foi,J,Jowing building permit applications are exempt from undergoing a full concurrency review: room additions, access ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use-, III ` • WAR • ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impr 2 fuements to your property. A Notice of Commencement must be recorded and posted on the jobsite befo �"II the first iWec on. If you intend to obtain financing, consult with lender an attorney before Cmm�llenrina-LuArk nrfPrnrriina vniir Kintira of rnmmanramant o Signature of Owner/ Lessee/Contractor as Agent for Owner Signaturcrof Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA CO NNTY OF STLUCIE COUNTY OF STLUCIE The f this l l noing instrument was acknowledge efore me II 8TH day of JULY 26J K by The forgoing instrument was acknowledge before me this 18TH day of JULY 20) 6 by KYL _ _ �11 11TE 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 Prodl�ced°°°®PQ���MRFa�q'�r// 11f Identification \\1tiH1401! �s� d� Type of Identification Produced 0• ° / �®� s° �PQ RFi_ e o� ��o erNassiON °° c,� 15 Now •, , , ot_z Mbar 019�. YSi (S' nature of Notary Public- State of Florida } a #FF 936050 ° ature of Notary Public- State of Flc .[i_) g rY Corn B°ndedlbN.�`' fission No. FF936050 °° #FF 936050 o Q "Commission No. FF936050 '. Pa��eogdedlhN.' ®/®g/9o�40B119i14e�®®0°° >�;9Yp N1Notary�OC,°°c����`' RE ill HEWS FRONT COUNTER ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE1 RECEiJVED DAT .l COM�� LETED 7, 1 q Rev JL/