HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI I �
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� (�
Date: Permit Number: I Q 0q 00 1
RECFIV�O
Building Permit Application Spp
Planning and Development Services Zn18
Perm Building and Code Regulation Division 'ttIng p
2300 Virginia Avenue, Fort Pierce FL 34982 St' Lucie
Coartrn
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX n' ent
PERMIT APPLICATION FOR: Roof SMANNED
PROPOSED IMPROVEMENT LOCATION
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Address: bl1 ( LWUHANAN UKIVL, 1--UN I HILNUL
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Legal Description: INDIAN RIVER ESTATES - UNIT 1 - BLK 1 LOT 25 AND N 1/2 OF LOT 26
Property Tax ID #: 3402-602-0025-000-2
Site Plan Name:
Project Name: MARTIN/REROOF
Setbacks Front Back:_
.Right Side: T Left Side:
Lot No.
Block No.
I
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN 5VCRIMP (24G) METAL PANEL
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
CQNSTRUCTION I`NFOR'IVIATION
AaaRlOna1 worK W oe erTormea unaer tnls permit — cnecK aII apply:
OHVAC _ Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric E] PlumbingSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 4,400 S Ft. of First Floor: 2,124
Cost of Construction: $ 18,660 Utilities:'nSewer 0Septic Building Height: 1 STORY
O.VVNER/LESSEE
CONTRACTOR
Name MICHAEL MARTIN
Name: KYLE WHITE
Address: 5117 BUCHANAN DR
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL.
Zip Code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No. 772-672-9901
Zip Code: 34982 Fax: 772-468-8397
E-Mail: mpmartin1528@gmail.com
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
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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AiNSTRUCTION LIEN LAW EN(3 ,4 <IC?N`� 4 q =
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DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: �pl-Applicable
Name:
Name:
Address:
Address:
City! I State:
City: State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: "ot Applicable
Name: Name:
Address: Address:
It City:
y y:
Zip: Phone: Zip:. Phone:
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 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
structul 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, 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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lend r or an attorney before
commencing wolklor rec(Ading your Notice of Commencement.
Signal ure of Owner/ Lessee/Contractor as Agent for Owner
Signature ofContractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLucIE
COUNTY OF STLucIE
The forgoing instrument was acknowledgedbefore me
this 7711 day SEPTEMBER 20 by
The forgoing instrument was acknowledged before me
this 27TH day of SEPTEMBER 20_ by
of ,
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
Type of Identification
Produced
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Produced
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m�e�\NE MAIV,gFs��r�d
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(Sig
ture of Notary Public- State of Ioridadze �'0N �
of
(ig ture Notary Public- State o lo;�
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Commission
No. FF936050 ®�(SeaIj FF936050 °°Q
Commission No. FFs3soso ?^; (S@9436050 p Q
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REV EWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/
/17