HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE, NFO ST BE 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)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
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Address: 3715 S. INDIAN RIVER DRIVE
Legal Description: 26 35 40 S 96.24 FT OF N287.48 FT OS S 1/2 OF SE 1/4
Property Tax ID#: 2426-431-0002-000-2 Lot No.
Site Plan Name: Block No.
Project Name: MIKO/REROOF
Setbacks Front Back: Right,Side: Left Side:
DETAILED DE5CRIPTIONy` 3E 1NORK r £d ,
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TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL TAMKO HERITAGE VINTAGE SHINGLES ROOF
SYSTEM OVER SELF ADHERED UNDERLAYMENT. (25 SQ/3/12 PITCH).
CONSl'RUCTION INFORMATION
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Additionalworkto e e orme under this permit—check a appy:
DHVAC Ei Gas Tank ❑Gas Piping 1:1_Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers0 Generator W1 Roof
Total Sq. Ft of Construction: 2500 S Ft. of First Floor: 2120
Cost of Construction:$ 11,625.00 Utilities:Sewer ElSeptic Building Height: 1 FL
OWNER/LESSEE f CONTRACTOR
X'�,�'v,
Name DANUTA MIKO Name: KYLE WHITE
Address: 3715 S. INDIAN RIVER DR Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No. 772-621-0785 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 LIEN,LAW INFbRIVIATION; � ,;`"
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: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TOO ER:Y ur failure to Record a Notice of Commencement m sult in your paying twice for
improvemen t your operty. A Notice of Commencement must be r ded an posted on the jobsite
before the r nspe on. If you intend to obtain financing, consult ender an attorney before
commen 'n ork r ecordin our Notice of Commencement.
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Signat Signature of Owner/Lessee/Agent e o Co ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L(,r.xiLc COUNTY OF
The forgoing i nstru merlt was acknowledgebefore me The forgoing instrument was acknowledged before me
this JDday of GU^ 20 by this /Qday of U 20 )(0 by
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KYLE WHITE KYLE WHITE
(Name of person acknowledging) NEko•., (Name of person acknowledging)
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S' nature of Notary Public-State of F Id9) # ��.��•�: (Si nature of Notary Public-State of Florida) owe erIs�..5
Personally Known V OR Produced 114W..�//lll����111N��l P \\ Personally Known - OR Produced 140 icat
Type of Identification Produced Type of Identification/Produced
Commission No. ,r� (Seal) ( �g3lPD5C� (s3,��j ' "•'"m ••o\��
It" Seal Commission No.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS