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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: - I�' (0l 1 r) RECEIVED Date: _ FEB 20 7519 Building Permit Application Permitting Department Planning and Development Services 5t. Lucie county SCANNED Building and Code Regulation Division BY 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Cour Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XX Residential PERMIT APPLICATION FOR: Roof II PROPOSED IMPROVEMENT LOCATION; Address: 115 W ARBOR AVENUE, PORT ST LUCIE Legal Description: RIVER PARK- UNIT 1 BLK 6 LOT 1 Property Tax ID #: 3419-501-0066-000-3 Site Plan Name: Project Name: ESQUIVEUREROOF Setbacks Front Back: Right Side: Left Side: Lot No. Block No. TEAR OFF TAR & GRAVEL, RENAIL DECK. INSTALL NEW POLYGLASS (W-170) MODIFIED BITUMEN ROOF SYSTEM. AaaitionalworKtoDe errormea unaertnispermit— cnecKail apply: �HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof 1/12 Roof pitch Total Sq. Ft of Construction: 2.300 S Ft. of First Floor: 1,803 Cost of Construction: $ 10,350 Utilities:"n Sewer 0Septic ' Building Height: 1 STORY ®fflNE:R�%LESSEE: CONTRACTOR: Name RUBEN & REBECCA ESQUIVEL Name: KYLE WHITE Address: 115 W ARBOR AVENUE Company: J.A. TAYLOR ROOFING INC City: PORT ST LUCIE State: FL Zip Code: 34952 Fax: Phone No. 772-323-1781 Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E-Mail: RUBEXESQUIVEL@YAHOO.COM Fill in fee simple Title Holder on 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. SUPPLEMENTAL CONSTRUC?I©N LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ otApplicable MORTGAGE COMPANY: Name: ale pplicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: __?Not Name: Applicable BONDING COMPANY: Name: _Not Applicable 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. 1 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 record eda3lFposted on the jobsite before the first inspectio yoL�i�tend to obtain financing, consult with len or an Atorney before commencingwor cordinp�(qur 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 sTLUCIE COUNTYOF sTLUCIE The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged efore me this 20TH day of FEBRUARY , ZQ I�'f by -H this 20TH day of FEBUARY by KYLE WHITE KYLE WHITE Name of person making statement Name of person making statement Personally Known xx OR Produced Identification i/�,,� Personally Known xx OR Produced Iderlti,tlHoil1Type of dentification Identification FsType �/�z of lddentification ***" / Produce \\`MMR 9 /i Produce ,°���.s 10 i • `\��PQ�C� �gSION 75, o'Oq% : 15, `• •gz '�N �et 0, ; ` •*I 1 IYY'XA/lti�"�'( I Si nature of Notary Public- o• - tate oflorlda) ; c? f EF996958 0� (Sig ature oNotary Public- ft ic- State oF'�i$�) '%9•�nkans:�'�,�`�\�� Commission No. FF936050 • nFF93so�0 iPil�1o711 Commission No. FF 936050 �f"lif1 ;`\ \c4�`\J fl REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE G RECEIVED J DATE COMPLETED Rev.8/2/17