HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof
-k—no.nk-Fn IMPR(7VFMFNT i nCATI(_)&
Address: 4702 AVENUE C, FORT PIERCE
Legal Description: HARMONY HEIGHTS BLK O LOT 2 - LESS 10 FT AND ALL LOT 3
Property Tax ID #: 2406-502-0218-000-4
Site Plan Name:
Project Name: GARICA/REROOF
Setbacks Front Back:
Right Side: Left Side:
.1
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR 5V CRIMP METAL PANEL
ROOF SYSTEM OVER 2-LAYERS OF 30# FELT UNDERLAYMENT.
1'CnNSTRI ICTIONr'INFClR�1/IATION• __ = ' S
EIHVAC U Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2,100
Cost of Construction: $ 7,350
jerrnR —cneLK d I ILI
I dL dppry:
❑
3as Piping
_ Shutters
Windows/Doors
Sprinklers
1:1Generator
Roof
3/12
Roof pitch
S Ft. of First Floor: 1,442
Utilities:"nSewer[]Septic Building Height: 1 STORY
'OWNER%LESSEE,j
CONT{2ACTOR
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Name MARIA DEL CONSUELO ESQUIVEL&MANUEL GARCIA CAMPOS
Address: 2923 SHERWOOD LN
Name: KYLEWHITE
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-318-8680
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail:
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1W
MORTGAGE COMPANY:
Name:
L_DletApplicable
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ of Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: 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 conwilct 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 1 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 pr erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first ins ZA you intend to obtain financing, consult with I ,¢ran attorney before
commencing or rec�Vi ine vour Notice of Commencement. //
Signature of Owner Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF BTLUCIE
COUNTYOF BTWCIE
The forgoing instrument was
acknowledgedbefore me
The forgoing instrument was acknowledged efore me
this 3RD day of 05CEMBER
20LOL
this 3RD day of DECEMBER 2Q,_i� by
KYLE WHITE
KYLE WHITE 11111111111/I
Name of person making statement
Name of person making statemeF��pp�\N,,,,,
Personally Known xx OR
Produced Identification
Personally Known xx OR Producetly,.9fi'�M
Type of Identification
Type of Identification
Produced
Produced
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15SI14
RFFo9•3�6S05°0 �¢
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go N��.
i
(S' nature of Notary Public-
§tate of-3l6nda) �•� �* c
(Si nature of Notary Public- State of Florid4j'�B�---- i'--I '
Sy • OFF 936050 Qa
Commission NO. FF 938050
01�$� dlr
Commission No. FF936050 (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17