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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q (� Date: U ' �J I ' I "I SCANN i) Permit Number: I 1 O _J_'U 1 ( 0 BY RECEIVER - St. Lucie County Building Permit Application MAY 31 2019 Planning and Code ion Dices ST. Lucie Cbun Permittin Building and Code Regulation Division h'� 9 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx Address: 1405 PLATTS LANE, FORT PIERCE Legal Description: PLATTS BRANCH LOT 5 Property Tax ID #: 2433-5019005-000-9 Lot No. Site Plan Name: Project Name: FLAT/REROOF Setbacks Front Back: Right Side: Left Side: Block No. FLAT ROOF ONLY: TEAR OFF MODIFIED ROOF, RENAIL DECK. INSTALL NEW POLYGLASS (W-61) MODIFIED BITUMEN ROOF SYSTEM (FE#465#J R16 5+_ R.23 . 0HVAC LJ.Gas Tank 11 Electric 1:1Plumbing Total Sq. Ft of Construction: 500 Cost of Construction: $ 4,050 Piping ❑_Shutters 0 Windows/Doors nklers 11 Generator W1 Roof = Roof pitch SgI�Ft.� of First Floor: 2,414 Utilities: nSewer Eheptic Building Height: 1 STORY O�W,NER%LESSEE: �©�NRaCwTLOR: Name WENDY BAKERMAN PICANO Name: KYLE WHITE Address: 35 PORTER ST Company: J.A. TAYLOR ROOFING INC City: WOBURN State: MA Zip Code: 01B01 Fax: Phone No. 772-201-0995 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: CCC1325B95 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPRLEMENTALC4NST,.RUCTIOiV LIEN L 1WIIFORMAiI©IV "' "-��?J DESIGNER/ENGINEER: Name: L-110-t Applicable MORTGAGE COMPANY: Name: _(-.Nct Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: of Applicable BONDING COMPANY: Name: l-Xot 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 your property. A N tice of Commencement must be recorded and p ed the jobsite before the first inspectio o " tend to obtain financing, consult with lender or atto le before commencing work o cordin o 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 acknowledge1 efore me The forgoing instrument was acknowledgecjpefore me 23RD day My by this 23RD day of MAy 2p \ by this of KYLE WHITE tillll!!lil . KYLEWHITE Name of person making state MA/yyF�/<<r� Name of person making statement ogT\NE Personally Known OR Produc � >a lSe'�JMLs �._ Personally Known OR Produced Ide ` RaEPbMI� MA/y9F�i;��� Type of Identification p�,mhar is A9 e _ .�_ Type of Identification ,``9�p\NE Produced - ��N; a Produced ,•�,MI,SIoy••.`9�� tuber • � ,¢ � • 8FF936050 _ 9 (Sign ure of Notary Public -State of FId'fjgt'341" '••TEOFFIN (Signature of Notary ublic- State of Florisla'.� L ' ••Q� ��1/1111!Illiil\1'.\\�� d1gpr�;: "'(S)�.•STATEOF���`, Commission No. FF936050 (Seal) Commission No. FF936050 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17