HomeMy WebLinkAboutBuilding Permit Application 2015-06-23 18:28 i .a.taylor roofing 772 468 8397 >> P 5/5
ALL APPLICABLE INFO MUST ak COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; to — [ Permit Number:
RECEIVED JUN 2 4.2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462.1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof — kVNFA,>,
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Address: 8291 SANDPINE CIRCLE
Legal Description: LAKE LUCIE ESTATES PLAT NO ONE LOT 50
Property Tax]D#: 3426.703.0064-000-1 Lot No.'''`--��
Site Plan Name: Black No. I
Project Name: MARGARET ROSSI
Setbacks Front Back: Right Side: Left Side:
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TEAR-OFF SHINGLE, RE-NAIL DECK.INSTALL NEIN SHINGLE ROOF SYSTEM OV513 SELF-ADHERED UNDERLAYMENT,
(30 SO. 1 5:12 P)
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CONSfRU.CTIO�N'I111F R
ACIditionalworKtOpffrformed under this permit—cnecK all appy:
❑MVAC Gas Tank ElGas Piping _Shutters ❑Windows/Doors
❑Electric Plumbing ❑Sprinklers ❑Generator Roof
Total Sq.Ft of Construction: 3000 S .Ft,of First Floor:
Cost of Construction:$ 91000,00 Utilities.. Sewer[]Septic. Building Height:
OIA/NER.LESS :: ' ,.COfu7RAGT ---
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Name MARGARET ROSSI Name: KYLE WHITE
Address:8291 SANDPINE CIRCLE Company: J.A.TAYLOR ROOFING,INC
City: PORI'ST,LUCIE State:FL' Address: 302 MELTON DRIVE
Zip Code: 34952 Fax: City: FORT PIERCE state:FL
Phone No,561-723-4250 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: CCC1325895
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
P 4,20
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SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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 insp ction. If you intend to obtain financing, consult with len er or an attorney before
commencing work Or recording our Notice-of Commencement.
Signature of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowled ed b fore me The forgoing instrument was acknowledged before me
this 15TH day Of JUNE 20 by this 15TH day of JUNE 20[E:'by
KYLE WHITE KYLE WHITE
(Name of pers ackno led ng) (Name of persorrfacknowl di 1g1)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF115637 (Seal) Commission No. FF115637 (Seal)
I KAREN S. NIELSENKAREN S.
='•° S Commissi___LN FF 115637 �•° `��
Commission#FF 115637
Revised 07/15/2014 My Commion Expires _ oma= My Commission Expires
June , 2018 %3���� June 12, 2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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