HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: i f(0o — Cha
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 Resid'.ential X
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PERMIT APPLICATION FOR: Roof
PROPOSED jMPROVEMENT.LOCATION
Address: 4072 OAK HAMMOCK LANE, FORT PIERCE - DETACHED GARAGE
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Legal Description: 29 35 40 FROM W 1/4 COR OF SEC RUN N 88 DEG 39 MIN 46 SEC 3 508.28 FT,THE N01 DEG 04 MIN 16 SEC 3127.40 FT TO POB
TH N 88 DEG 39 MIN 44 SEC 2 91.75 FT,TH RUN N 02 DEG 25 MIN 44 SEC W 153.35 FT,TH N 25 DEG 20 MIN 16 SEC E 30 FT,TH S 87 DEG 35 MIN AND MORE
Property Tax ID#: 2429-233-0003-000-0 Lot No.
Site Plan Name: Block No.
Project Name: HOWE/REROOF
Setbacks Front Back: Right Side: Left Side:
D'E'TAILED DESCRaIPI'ION dF'WORK ` ` < af3
TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE ROOF
SYSTEM OVER (30#) FELT UNDERLAYMENT. (9 SQ/3/12 PITCH).
CONSTRUCTION INFORMATION . £
Additional work to be nertormed under this permit—check k a appy: j
0HVAC Gas Tank ❑Gas PipingShutters Q Windows/Doors
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Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 900 S . Ft. of First Floor: 504 j
Cost of Construction:$ 3,150.00 Utilities: Sewer Septic Building Height: 1 STORY
OINNERAESSEE CONTRACTOR
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Name CURTIS HOWE&PATRICIA KLEINHENZ Name: KYLEfWHITE
Address: 4072 OAK HAMMOCK LN 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. 772-882-2836 Zip Code: 34982 f Fax: 772-468-8397
E-Mail: CURTHOWE@BELLSOUTH.NET Phone No. 772-466-4040 ;I
Fill in fee simple Title Holder on next page(if different E-Mail: NADINE@JATAYL6RROOFING.COM
from the Owner listed above) State or County License: C6C1325895
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION^LIEN LAW INFpRMATION ,
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:; x—Not Applicable
Name: Name:
Address: Address:
City: State: City: f State:
Zip: Phone: Zip: Phone: :1
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City: I
Zip: Phone: Zip: Phone:
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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 TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for'
improvements to your perty.A Notice of Commencement must be recorded a posted on the jobsite
before the first insp on. If you intend to obtain financing, consult with lend n attorney before
commencing woflOmecorcling your Notice of Commencement.
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_Signature of net/Lessee/Agent Signature of Contrac ce a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ��l-y�l-�- COUNTY OF Lf ) ou,�e,
The forgoing instru ent was$cknowledgW fpp �o The forgoing instrument was ac nowledged before me
this�Qday of C \ 2Q`�,� �AFS��6�or this oo ay of It 20 by
e �SSIONF •9 xz
J�O� 015, °i
KYLE WHITE Z a2� ?OJ9tn KYLE WHITE
(Name of person acknowledging) _* ; 4D _ (Name of person acknowledging)
#FF 936050 :•o¢
5
e��y I&19 NotaN
(S' nature of Notary Public-State of Florl ���9NIjIf1111Hi\\\ (S gnature of NotaryPub Ic-State of Florid
\0AN
Personally Known OR Produced Identification Personally KnownOR Producl a • �
Type of Identification Produced Type of Identification Produced_ •c,� amber 15? 9'a
Commission No.(FPqWcQ5O (Seal) Commission No. s*;(Seal)®•40
#t)F 936050 o s
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION .I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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