The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATION. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: "! I I ✓ YJ�� I �® I Building Permit Application you Planning and Development Services Building and Code Regulation Division st 4 1190, l0%® 2300, Virginia Avenue, Fort Pierce FL 34982 <Uce,pd Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resideri��xx PERMIT APPLICATION FOR: Roof �nniuAec� PROPOSED 111/I°PROVEMENT LOCATIO-N :s�,••y„" a `u Address: 450 CAMPBELL ROAD, FORT PIERCE St Lucie Ciom I Legal Description: CORBIN ACRES LOT 5 Property Tax ID #: 2309-800-0005-000-5 Lot No._ Site Plan Name: Block No. Proiect Name: CORBIN/REROOF Setbacks Front Back: Right Side: Left Side: TEAR'OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL PANEL (NOA#14=0416.01) ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL UNDERLAYMENT (FL#9777.7). a�.,,yM a ,� ., N k . a T CO'NSTR:WCTI"QN INFORMATION ,. Adclitional work to be nerformecl uncler tijis permit — check all that apply: E1HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors IJElectric ❑ Plumbing Sprinklers Generator Roof 6/12 Roof pitch Total SqI Ft of Construction: 4,500 S . Ft. of First Floor: 3,024 Cost of Construction: $ 21,150 Utilities:n Sewer Septic Building Height: 1 STORY OWNER/LESS'�E°`��h �CO�ITRACTOR J _ P m .. aN « .:` :✓ Name TERESA CORBIN Name: KYLE WHITE Address!) 450 CAMPBELL RD Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FIL Address: 302 MELTON DRIVE FORT PIERCE FL City: State: 34945 Zip Code: Fax: Phone Nlo. 772-971-0551 E-Mail: ICORBINSFARM@EARTHLINK.NET Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 Fill in fee simple Title Holder on next page ( if different E-Mail: NADINE@JATAYLORROOFING.COM from they Owner listed above) State or County License: CCC1325895 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. S.0 RIP LE ME N TTAL4,GONSTRUCTIONLIENLAW INFDRMATtQN DESIGNER/ENGINEER: Name: _,_ of Applicable MORTGAGE COMPANY: L,-Kot Applicable Name: Address: City: State: Zip: Phone: Address: City:! State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City:! Not Applicable BONDING COMPANY: _ of Applicable Name: Address: City: Zip: Phone: Zip: 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 structure. 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, accessoIry 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 fir==ding If you intend to obtain financing, consult with lender or att ney before commencin our Noticeof Commencement. i Signature of Owner Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder I STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLucIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 5TH day of NOVEMBER 20A by this 5TH day of NOVEMBER 20 18 by KYLE WHITE KYLE WHITE Name of person making state me1l�NiIfH�Of/�� Personally Known OR Produce�1 �ja`r Name of person making stateme,�lP NE MaAIy ��/,i��/ Personally Known OR Produ \��M$N_ Type of Identification C�� •��,�SSIOry •.� '� ls2oiO9 Type of Identification �� VO��er !S %o Produced Produced et�be� : _ #FF 936050 =� . Q ' :�' #FF 936050 %o�= � (Signature of Notary Public- State of (Signature of Notary Public- State of •.. ry.••'�`�� Commission FF 936050 ( ��•Nmnlna� Commission No. FF 936050 No. (Sea REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMP ETED Rev