HomeMy WebLinkAboutBuilding Permit Application 2015-09-04 14:57 j.a.tayl.or roofing 772 468 8397 >> P 1/1
ALLAPPLiCABL INFMUST E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-3.553 Fax: (772)462.1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
,PR'OPO ED:INPftO.V. N
Address: 4409 SUNRISE BLVD„ FORT PIERCE
Legal Description: 33 35 40 FROM INTOF W LI SUNRISE BV a N LI OF SW 1/40F SE 1/4 RUN S 15 DEG 24 MIN W ALG W RNV$UNRI$C EV 554.89'TO
PT,TH S 12 DEG 19 MIN W 107,60'TO POB,TH CONT S 12 DEC 10 MIN W424,TH W//TON LI OF SW 1/4 OF SC•1/4 357,TH N 12 DEG 19MIN 5424', ... moro
Property Tax ID#: 2433.434.0001.000.6 Lot No,
Site Plan Name: Block No.
ProJect Name: DEAQUINOS "SKYLIGHT REPLACEMENT"
Setbacks Front Back: Right Side: ,Left Side:
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REMOVE SHINGLES AROUND(3)EXISTING SKYLIGHTS,REPLACE WITH NEW SKYLIGHTS.INSTALL NEW UNDERLAYMENT
AND SHINGLES AROUND SKYLIGHT AREA.SEAL PERIMETERS.
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ACICIltional work to 0rtormeci underthis permit—Check all appy:
HVAC Gas Tank []Gas Piping _Shutters Windows/Doors
Electric Q Plumbing []Sprinklers [Generator EIRoof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 1,920,00 UtilitiesSewer OSeptic Building Height:
.0 NW R%LESSL ;, I'� k° '�� ;r ,.,: ;r ;� CQN�TuRACTQR;.
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Name DOROTHY&ROBERT DEAQUINOS Name: KYLE WHITE
Address:4409 SUNRISE BLVD. Company: J.A.TAYLOR ROOFING, INC.
City: FORT PIERCE °.�_ state:Fl- Address: 302 MELTON DRIVE
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No. 772-466-1922 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-Mall: karenfortaylorGaol.com .°
from the Owner listed above) State or County License: CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LEEN'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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine workor re,
ordin our Notice of Commencement.
r ,
Signature of Owner/1Cd&tTLessee Signature of Contractor/Licbnse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSAINTLUCIE COUNTY OFSAINTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4TH Ajay of SEPTEMBER 20L_j by this 4TH day of SEPTEMBER 20=by
KYLE WHITE KYLE WHITE
(Name of person acknowl dging) (Name of perso acknowledging)
(Signature of r4otary 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 mmission No. FF1 ��,,,,,,,,,
N S. NIELSEN . e<<, KARE IELSEN
commission# FF 115637 ,* *= Commission#FF 115637
14y_GRMFR;6Gi91; 9XP;P@9 -Z RA
3* *3 -
°o;F�FF� June 12, 2018 °%f°F" June 12, 2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED