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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE (INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -SCANNED Permit Number: _ BY x i iii 'A -i St. Lucie Cou* RcrF Building Permit Application p MArz�10�9 Planning and Development Services e�mlttin D Building and Code Regulation Division St Lucie Coartment 2300 Virginia Avenue, Fort Pierce FL 34982 � � - �nty Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx PERMIT APPLICATION FOR: Roof III Address: 915 JACKSON WAY, FORT PIERCE (EL-&T;SE0II0N:0Nt:Y) Legal Description: COASTAL COVES - UNIT 1 LOT 23 Property Tax ID #: Site Plan Name: Project Name: 1423-802-0025-000-5 Setbacks Front Back: Right Side: Left Side: Lot No. Block No. TEAR OFF MODIFIED ROOF, RENAIL DECK. INSTALL NEW POLYGLASS (W-73) MODIFIED BITUMEN ROOF SYSTEM (FL#1654.1) n LV U HUI IIICU unuci uuo Pcn Iu—UJCLn au apply: C_HVAC _ Gas Tank Gas Piping _ Shutters ❑ Windows/Doors 11 Electric El Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: 900 Sq. Ft. of First Floor: 1,914 Cost of Construction: $ 5,400 Utilities:Sewer 0Septic Building Height: 1 STORY �O.WNER/,LESSEE: CONTi IR Name CASAPESCATORE LLC Name: KYLE WHITE Address: 2714 FLOTILLA TER Company: J.A. TAYLOR ROOFING INC City: HUTCHINSON ISLAND State: FL Zip Code: 34949 Fax: Phone No. 772-464-6128 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 on next page (if different from the Owner listed above) E-Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC1326895 It value of construction is 52500 or more, a RECORDED Notice of Commencement is required. �9UPPLEMENTAL C©NS,T;RU_<= d D "LIEN LAW INFORMA�TiION: DESIGNER/ENGINEER: _ Name: Not Applicable MORTGAGE COMPANY: Name: L.NGt Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ Name: of Applicable BONDING COMPANY: Name: . "ot 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 property. A Notice of Commencement must be recorded and posted on the jobsite before the first i ectiorryy(�� you intend to obtain financing, consult with lend ergn attorney before commencing rk or rec6rQing your Notice of Commencement. !/ // Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STWCIE COUNTY OF STLUCIE The forgoing instrument was acknowledge ¢ before me The forgoing instrument was acknowledged efore me this 17TH day of MAY 20 by this 17rH day of mAy , 20 by KYLE WHITE KYLE WHITE Name of person making statement Name of person making statement Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification Type of Identification Type of Identification Produced roduced `�t6111lIt111111//�� p\NE MAN , �iG� .........Fs�% .•' t4h45SI0ry'°.9 bar rs.oi'e L \0��1it1\NEI Mlllll���ii (Signature of Notary Public- S ate of -FUda) ®•a m 7 * __ (Signature of Notary Public- tate of Fiorid�Q�'"'yzf 1' s ,.FF936050 Commission No. FF936050 �` 5 IYopded •�p�� Commission No. FF936050 � .; g=oeN p ($e�•_ ^%99<&'add ONO STATE\o�`` REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUR11FilJjllilGj GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW EVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17