HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division I
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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OPQSED IIVIPROVEl1lI
PRENTLOCATIQN:
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Address: 1843 GOLDEN PONDS DR I.
Legal Description: 3 35 39 NW 1/4LESS AVON MANOR UNITS 1 AND 2 AND LESS W 645FT LYG S OF AVON MANOR
UNIT 1 AND LESS CANAL AND RD RS/W AND LESS 1-95 AS IN OR 237-1372
Property Tax ID#: 2II302-211-0025-000-5 Lot No.
Site Plan Name: d Block No.
Project Name:
MURPHY/MARY
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTIONpOF WORK �� �'� �6
a3 . exa.P°7'; '"s°s`
TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE ROOF
SYSTEM OVER OWENS CORNING WEATHERLOCK G SELF ADHERED UNDERLAYMENT.
(18 SQ/3/12 PITCH).
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CONSTRUCTION INFORMATION
AdAdditional work to be nertormed '6n8 ert is permit—check a� appy:
HVAC _Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers 0 Generator W1 Roof
Total Sq. Ft of Construction: 1800 Sq. Ft.of First Floor: 1800
Cost of Construction:$ 6,050.00 Utilities: Sewer OSeptic Building Height: 1 STORY
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OWNER/LESSEE CONTRACTOR:
Name MARY MURPHY Name: KYLE WHITE
Address: 1843 GOLDEN POND RD Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34947 Fax: City: FORT PIERCE State:FL
Phone No. 772-460-2132 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: C6C1325895
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTAUCTI0NiLI'EN IAA INFORMATIQN s
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:, x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: 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 the permit holde'rl 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:froom 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 re Win your paying twice for
improvements to your property.A Notice of Commencement must be record an osted on the jobsite
before the firsti tion. If you intend to obtain financing, consult with len erfalattorney before
commencingor o lrecording your Notice of Commencement.
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_Signature o caner/Lessee/Agent Signature of Eontraetor/Llcens6 Holder
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STATE OF FLORID t STATE OF FLORIDA
COUNTY OF _ Lu c__� COUNTY-OF UCl-Q
The forgoing instr ent as acknowledg before me The forgoing instrument w acknowledged before me
this day of C 20t�by this-)&day of 20 10 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
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( 'gnature of Notary Public-State of Florida) (S' nature of Notary Public-State of Florida��4d�0�61lt111Bt1IB�/
'\NE MSA
Personally Known VOProduced Ide t�Yfjpa /tion Personally Known � OR Produced,4eQ►f i3li�y°Fs o
Type of Identification Produced ���e�d��n o�>/ Type of Identification Produced •c, bis
Commission No �� "�s��h ;s9��� Commission Nov ](Seal)
ooemA Sy° #FF 936050 Q e
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Revised 07/15/2014 9; s3soso %�a`%SPI"-
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REVIEWS FRONT ZONIWil"A 10fiVISOR PLANS VEGETATION 'I SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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