HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� 11 , �� Permit Number:A111111111--
RECEI0 FEB 17 2016
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 - S r
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PROPOSED IIVEMENT LOCATION: .
Address: 5370 DUNN RD, FORT PIERCE
Legal Description: WHITE CITY S/D 05 36 40 S 1/2 OF LOT 118- LESS E 165 FT AND LESS N 30 FT AND LESS RD R/W
Property Tax ID#: 3403-502-0210-000-2 Lot No.
Site Plan Name: Block No.
Project Name: CAGLIONI/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK,
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL OWENS CORNING SUPREME SHINGLE
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G UNDERLAYMENT. (32 SQ/4/12
& 3/12 PITCH).
CONSTRUCTION INFORMATION
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Additionalwork to be performed under t ispermit—check k all
appy:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 3200 S Ft. of First Floor: 1672
Cost of Construction:$ 8,880.00 Utilities:[]Sewer OSeptic Building Height: 1 FL
OW.N'ER/LESSEE: CONTRACTOR:
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Name GIACOMO CAGLIONI Name: KYLE WHITE
Address:5370 DUNN RD Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34981 Fax: City: FORT PIERCE State:FL
Phone No. 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.
,SUFPPLEMENTALCONSTRCTIOIv L°I,EN: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:
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: oom additions,
accessory struct es,swimmi pools,fences,walls,signs,screen rooms and ac essory uses to a ther non-residential use
WARNING T OWNER: r failure to Record a Notice of Commen a ent may res t in your paying twice for
improveme to your p perty. A Notice of Commencement be recorde a d posted on the jobsite
before the f t ins ecti . If you intend to obtain financing, c s It with lende r an attorney before
commencin wor r r c rdin our Notice of Commenceme
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_Signature of 0 r/Lessee/Agent Signat a of tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forgoing instrumentwas acknowledged before me The forgoing instrumen was acknowledged before me
this day of 061-i'l 20 Vaby this J DL day of UM20 �O by
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KYLE WHITE MAN �//// KYLE WHITE ti " T•.•••...;QF
(Name of person acknowledging) �� •;oM1SSlOry'••� �� (Name of person acknowledging) •^�c,��mber is F�%
V �bef 1SAi: ••� oat ?o
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(Si na ure of Notary Pu li -State of FI � :Q (Si nature of Notary Public-State of Flori6y.,%4,'.
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Personally Known OR Produced Ic rj' t1 Q�'\\\ Personally Known OR Produced Ident O%'RTP,;L
Type of Identification Produced �///lljillll��►11 Type of Identification Produced 111 '
Commission No. FF 936050 (Seal) Commission No. FF936050 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS