HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST 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
PROPOSED I!* T OVEMENLOCATION
r...ns r r..x , , a �.c
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Address: 454 EUROPEAN LANE, FORT PIERCE
Legal Description: PALM GROVE S/D BLK G LOT 15
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Property Tax ID#: 3410-503-0204-000-2 Lot No. 15
Site Plan Name: Block No. G
Project Name: COFFEY/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK .
TEAR OFF SHINGLES, RE-NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G SELF ADHERED
UNDERLAYMENT. (29 SQ/4/12 PITCH).
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CfJNSTRUCTION'INFORMATION :}
itiona work toe e orme underd this permit—check a apply:
1:1HVAC FI Gas Tank ❑Gas Piping 1:1_Shutters Windows/Doors
11Electric E] PlumbingSprinklers E Generator 1 Roof
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Total Sq. Ft of Construction: 2900 S . Ft.of First Floor: 1972
Cost of Construction:$ 9,135.00 UtilitieS:InSewer Selptic Building Height: 1 STORY
OWNER%LESSEECONI"RACTOR
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Name JAMES COFFEY Name: KYLE WHITE
Address: 454 EUROPEAN LANE Company: J.A.TAYLOR ROOFING INC
City: FT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No. 772-332-7095 Zip Code: 34982 i Fax: 772-468-8397
E-Mail:AJ35MA@YAHOO.COM 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
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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 LAUt! INFORMATION` I A `
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Name: i
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: i x Not Applicable
Name: Name:
Address: Address:
City: City:
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 ifn your paying twice for
improvements t r property. A Notice of Commencement must be reco d and posted on the jobsite
before the fir rasp ction. If you intend to obtain financing, consult wit der or,.an attorney before
commencin or recordin our Notice of Commencement.
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_Signature of Owner essee/Agent Signature of C facto„/LI ense Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SU C�-2 COUNTY OF �1.-UC,I-e—
The for oing instrument wasacknowledged before me The forgoing instrument was a�Iknow]edged before me
this�day of QS l��� \ 201�by thisp day of C ` \ 20 by
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KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
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4g_ ture of Notary ublic-State of Florida) ?�igqntJureofN;'tary Publ'c-State of Florida)
Personally Known v/OR Produce�dt�\ Ic, ���o Personally Known OR Produced Ic�@ � �il'I,�f/������
Type of Identification Produced e •• �SSIO > Type of Identification Produced �� C�. •""'•• S iii
YP 4N c_ YP •.
ber S?
Commission No. _ $ a�� _ _ ��N��*_ Commission No��
#FF 936050 ;Q� — t #
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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