HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONV
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'Permit Number: lo� lJ taV`
SCANNED
• - BY 0.ECENED
Building Permit ApplicationSt. Lucie county
Planning and Development Services FEB 201019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Germ . 1-ti Department
St. -ude County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xx Residential
PERMIT APPLICATION FOR: Roof III
Address:
7105 ROBERTS ROAD, FORT PIERCE
Legal Description: LAKEWOOD PARK- UNIT 12 - ELK 164 LOTS 13 AND 14
Property Tax ID #: 1301-614-0185-000-2
Site Plan Name:
Project Name: BAUMAN/REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL.
J Gas Tank
0 Plumbing
Total Sq. Ft of Construction: 2,300
Cost of Construction: $ 10,180
Piping UShutters ❑Windows/Doors
nklers U Generator Z Roof 4/12 Roof pitch
S Ft. of First Floor: 2,050
Utilities:cU Sewer U Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name REBECCABAUMAN
Name: KYLEWHITE
Address: 7105 ROBERS RD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 32962 Fax:
Phone.No.407-304-6208 _
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: RBAUMAN1009@GMAIL.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: CCC1325896
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTiRUCTION L EN LAW INFQRMATION
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DESIGNER/ENGINEER:
Name:
of Applicable
MORTGAGE COMPANY:
Name:
_ t Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
of Applicable
BONDING COMPANY:
Name:
of 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.
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 yo_urproperty. A Notice of Commencement must be recorded and posted on the jobsite
before the first irtgkction. j#you intend to obtain financing, consult with lender or an attorney before
commencine rk or rec ne vour Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signat re of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTYOF STLUCIE
The forgoing instrument was acknowledge efore me
The forgoing instrument was acknowledgG efore me
this 20TH day of FEBRUARY 20by
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this 20TH day of FEBUARY 20 1 by
KYLE WHrrE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Identification
Identification
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M1ISS1pN•s9
Produced
e`�GQjefiber/So9: L_
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(Sig ature of Notary Public- State of - 6rida*9360.50 C'F
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATUR/hi11
STtOVE
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17