HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
ALL A i PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y p
Date*1, U-9✓4 Permit Number: �/.� 012
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Building Permit Applications �tfn '?o1e
Planning and Development Services t <4�e�epa
Building and Code Regulation Division Coo lrk�'
2300 Virginia Avenue, Fort Pierce FL 34982
Phonie: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
Addri
Legal
D IMPROVEMENT LOCATION P`.,, . BY ,
7203 CITRUS PARK BLVD, FORT PIERCE St Lucie Cour
ption: LAKEWOOD PARK- UNIT 9 - BLK 101 LOT 29
Property Tax ID #: 1301-611-0029-000-2
Site Plan Name:
Project Name: MARTIN/REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1,''SS
(NOA#14-0416.01) METAL PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK
TILE & METAL (FL#9777.7) LINDERLAYMENT.
VAC Gas Tank
Electric Plumbing
Total Sq. Ft of Construction: 2,500
Cost of Construction: $ 12,800
Gas Piping Ll Shutters I] Windows/Doors
Sprinklers E]Generator Z Roof 6/12 Roof pitch
S Ft. of First Floor: 1,716
Utilities:'nSewer Septic Building Height: 1 STORY
OWNER%LESSEE
CONTRACTOR
Name BRENDA MARTIN
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 7203 CITRUS PARK BLVD
City: IFT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-216-1179
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
E-Mail: MARTINPHILIP@ATT.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value; of construction is $2500 or more, a RECORDED Notice of Commencement is required.
STRUCTI;ON; LIEN lAkV1!'ttV,FORIVIATION
DESIGNED
I
Name:
Address:_
City: State:
Zip: Phone
GINEER: VNot Applicable
FEE SIMPLE TITLE HOLDER: k. Aot Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: C—Pf6f Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: "ot Applicable
Narne:_
Address:
City:_
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,
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 anoposted on the jobsite
before the first inspe . If you intend to obtain financing, consult with lender n attorney before
commencing wo recordMg your Notice of Commencement. it
Signature of Owner Lessee/Contractor as Agent for Owner
I
Signature of Contractor/License Holder
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 6TH day of NOVEMBER 20A by
this 6TH day of NOVEMBER 2019' by
1j1d��9,��,
KYLE WHITE �`eM
KYLE WHITE
Name of person making statem�p`t C�.••';S310N'••` �''��
Personally Known xx OR Produce E/o%
Name of person making statement 111111111)/�
Personally Known xx OR Produced
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Type of Identification _ =e o
Type of Identification `\��`� �.••••••••. F �%
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Produced =* s•o :*
Produced •G0�`M�SSI�N .;r9
` iso
#FF 936050
,ember
9 • �u�BOnded>hN.
AL 0 /1 1 A 9`.
F9360
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(Si nature of Notary Public- State of Florida f/f1/I!lj1m1111\\\,\
(Si nature of Notary Public- State of
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,�!%•
FF 936050
Commission No. (Seal)
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Commission No. FF936050 ATEo;�O`�
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17