HomeMy WebLinkAboutBuilding Permit Application 2015-06-23 18:27 j.a.taylor roofing 772 468 8397 >> P 3/5
ALL APPLICABLE INFO MJUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�� L-� Permit Number: `� " J9�
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof ;
PROPOSED IN:P'R.OUBM' EN:T LC 5 7L0 l'.
Address: 2200 GRAND OAK AVE.
Legal Description: SOUTHERN OAK ESTATES LOT 34
PropertyTax ID#: 3404-710-0039.000-1 Lot No.
Site Plan Name: Block No,�I
Project Name: PFEIFFER REROOF
Setbacks Front Sack: Right Side: Left Side:
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p TALLED'D SCRIPYION 0' W..0RK-��
TEAR-OFF SHINGLE. RE-NAIL DECK,INSTALL NEW METAL PANEL ROOF SYSTEM OVER
SELF ADHERED UNDERLAYMENT. (4780./6:12P)
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CONSTR I F RM ., .
IJ.CTONIN ,r.,,r;,,
itiona wor o e e Orme under t is permit—c ec a appy:
HVAC E]Gas Tank [:]Gas Piping _Shutters ❑Windows/Doors
0I;lectric LSI Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: 4700 Sol Ft.of First Floor:
Cost of Construction:$ 15,040.00 Utilities: []Septic Building Height:
:
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OWNER/LESSEE:Y, v.:.::.,;5� ,{
Name DONALD PFEIFFER Name: KYLE WHITE
Address:2200 GRAND OAK AVE Company: J.A.TAYLOR ROOFING,INC.
City; FORT PIERCE State:FL Address: 302 MELTON DRIVE
Zip Code; 34981 Fax: City: FORT PIERCE State:FL
Phone No,772.216-3001 Zip Code: 34982 Fax: 772-468.8397
E-Mail: Phone No. 772.466-4040
Fill in fee simple Title Holder on next page(If different E-Mail: karenfortaylor®aol.com
from the Owner listed above) State or County license: CCO1326895
If value of construction Is$x500 or more,a RECORDED Notice of Commencement is required.
O
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: T.C.B.E,INC/ HARVEY KOEHNEN Name:
Address:7205 ELYSE CIRCLE Address:
City: PORT ST.LUCIE State: FL City: State:
Zip: 34952 Phone: 772-466-5509 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 thepermit 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commepcing,work or recording our Notice of Commencement.
V, 6
Signat a of Owner/Agent/Lessee Sig at r f6'At actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINTLUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 28TH day of MAY 2011 by this 28TH day of MAY 20®by
KYLE WHITE KYLE WHITE
(Name of pers acknowled 'ng) (Name of person acknowledging)
i
I
(Signature of Notary Public-State of Florida ) (Sign ture of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Pro Type of Identification Produced
KAREN S. NMLZ�C
Commission NO. FF1156 :`�`�*P�•�•`�'z 1on# FF 115637 r FF115637
Co ) Commission No.
=* ' My omfnission Expires --
':',;;�.,,,�o•' lune 12, 2018 •, KAREN S. NIEtSE
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s'* Com
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Revised 07/15/2014 --�'''��"" June 12,2 Ere
20188
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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