HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE``INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Ap 1 1C Permit Number:
RECEI`7D JAN 2 0 2016
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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 - skr.,'.
PwRt3POSED Mf,iOVEME`NT, _tOCATIY„ ,,N:, �
Address: 426 SE TRANQUILLA AVE
Legal Description: RIVER PARK-UNIT4 BLK 34 FROM SWCOR LOT 5 RUN NELY ON SLY LI LOT5 41.91 FT TO POB,TH NWLY 140 FT TO PT
ON NLY Li LOT 4 42.48 FT WLY OF NELY COR LOT R,TH SWLY ON NLY LI LOTS 4 AND 5 103 FT THE S 43 DEG 41 MIN 26 SECE 140 FT TO POB
PropertyTax ID#: 3419-530-0081-000-4 Lot No.
Site Plan Name: Block No. 34
Project Name: GEISINGER/REROOF
Setbacks Front Back: Right Side: Left Side:
77
DEaIEED DESCRIPTION�OF WORK ` 'M `
�ti °
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL OWENS CORNING SHINGLES OVER (30#)
UNDERLAYMENT (34 SQ/2/12 PITCH).
CONSTRUCTION INFORM,,,,TION h I , '
AdditionalJW
work to e—e orme under this permit–check a appy:
OHVAC be
[]Gas Piping Shutters
QWindows/Doors
11 Electric 11 Plumbing OSprinklers MGenerator
Roof
Total Sq. Ft of Construction: 3400 S . Ft.of First Floor: 2643
Cost of Construction:$ �,� Utilities:cnSewer Septic Building Height: 1 FLOOR
77,7760—
OWNER/LESSEECONTRACTOR " `°a
Name LANA&BERTRAN GEISINGER Name: KYLE WHITE
Address: 509 SW SATURN CT Company: J.A.TAYLOR ROOFING INC
City: PORT ST LUCIE State:FL Address: 302 MELTON DR
Zip Code: 34953 Fax: City: FORT PIERCE State:FL
Phone No.954-692-4873 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: NADINE@JATAYLORROOFING.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.
SUPPLEMENTAL CONSTRUCTION Ll hl LAW INFCIRMATION,
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:
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 ur pr perty. A Notice of Commencement must be r orded and posted on the jobsite
before the fir spect' If you intend to obtain financing, consul h lend r or an attorney before
commenci ork or ecordin our Notice of Commencement.
s
_Signa of Owner/Lessee/Agent Signat r orCdatKactor7trcense Holder
STATE OF FLORIDA ` STATE OF FLORIDA l
COUNTY OF �'s-�UC\� COUNTY OF 1.
The for oing instrument was acknowledg d before me The Rforing instrument was acknowledged before me
this Zg day of �G�x�y01z`q 201( thisday of O 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of F{gktH ��H�� (Signature of Notary Public-State of Florida )
Personally Known O •..Esq rrrri��_ Personally Known ✓OR
Produced� gt' ARF rri
Type of Identification Produced Type of Identification Produced _ lrM�SSON :
Commission No. (Ida a5� o Commission No.01C7is f��' *=
��• ;�, o;• #FF 936050
Revised 07/15/2014 r,',,,;;Yf�uBLIC,`�� � ''9�roUeti�r''• ``
eaieut►ti °4e�111,611ai„����
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS