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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: !Z SCANNED Permit Number: r n, BY _ St. Lucie County Building Permit Application RFQk Planning and Development Services P qpq 09,9 O Building and Code Regulation Division 11 ip�,7 ? 2300 Virginia Avenue, Fort Pierce FL 34982 t <�c9 oRIP Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial 116% 4l xx PERMIT APPLICATION FOR: Roof II PRQP,QSED IMP.ROUE1v) -NT LOCATION: Address: 12901 ORANGE AVENUE, FORT PIERCE Legal Description: 8 35 39 NE 1/4 OF NE 1/4 OF SW 1/4 AND N 30 FT OF SE 114 OF NE 114 OV SW 1/4 - LESS S 150 FT OF E 342.50 FT AND LESS RD AND CANAL RS/W AND LESS THAT PART MPDAF: FROM NE COR OF NE 1/4 OF NE 1/4 OF SW 1/1-4 OF SEC AND MORE Property Tax ID #: 2308-311-0002-000-0 Lot No. Site Plan Name: Project Name: ROBERTS/REROOF Setbacks Front Back: Right Side: Left Side: Block No. TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR 5V CRIMP METAL PANEL (FL#17443.1) ROOF SYSTEM OVER 30# FELT UNDERLAYMENT (FL#12328.7) ❑ Windows/Doors ❑✓1 Roof 3/12 Total Sq. Ft of Construction: 2,100 S Ft. of First Floor: 1,456 Cost of Construction: $ 6,800 Utilities: Sewer D Septic Building Height: 1 STORY �OW[E%ESSEE: CONN�TRi AC«TiO.R: Name JAMES ROBERTS JR. Name: KYLE WHITE Address: 12901 ORANGE AVE Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FL Zip Code: 34945 Fax: Phone No.772-216-9674 Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E-Mail: MRBUTCHER123@AOL.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 G©NSTRIli GED:1 LIEN ILAW 1NF®RMATI D DESIGNER/ENGINEER: _L:f Name: of Applicable MORTGAGE COMPANY: S N Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Name: of Applicable BONDING COMPANY: _Not Applicable 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 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 and posted on the jobsite before the first inspectio If you intend to obtain financing, consult with lender an att ney before Comm,encin¢ w or r rdinia 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 STWCIE COUNTYOF STLucIE The forgoing instrument was acknowledge�+efore me The forgoing instrument was acknowledged -before me this 8TH day of APRIL 20 I' �/ by Lh15 BTH day of APRIL 2� by KYLE WHITE KYLE WHITE Name of F Personally Known pxxrson making Produced Id@h�i�61�t/,��P'� Name of � Personally Known p xx on making OR ProducedJ��\Uf�E�fyi 9F' 'S Type of Identification 3 Ser t av�h •, f Type of Identification �W�ISSI�N• Produced _ ;�=zm ��A9�3 pwO�amberlq?tA9 Producedae °. e GFF936050 $ /J�NFF936050 (JC /l.(il=s?cG4��Fc.,. (Signature of Notary Public -State of FloFPo o``\°��� (Signature of Notary Public- St to of FlorTE lda�`�'BJJ ,Qg���l ii SiA�e���OQ\, Commission No. FF936050 IS Commission No. FFS36050 (Sealf')IIIIHIttt REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17