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HomeMy WebLinkAboutBuilding Permit ApplicationALL 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 IMPROVEMENT LOCATION: Address: 679 PONYTAIL LN, FORT PIERCE Legal Description: PALM GROVE S/D BLK E LOT 32 Property Tax ID #: 3410-503-0169-000-4 Site Plan Name: Project Name: CALEK / RE -ROOF Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side Left Side: Lot No. 32 Block No. E TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G UNDERLAYMENT. INSTALLING SKYLIGHT. (36 SQ / 5/12 PITCH). Aooitional work to be CONTRACTOR: rtormed under thispermit - check a appy: City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772-577-4131 HVAC L _I Gas Tank Gas Piping_ E -Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC 1325895 Shutters a Windows/Doors 11Electric❑ Plumbing Sprinklers ❑ Generator Z Roof Total Sq. Ft of Construction: 3600 SFt. of First Floor: 2440 Cost of Construction: $ 10,890.00 Utilities: Sewer Septic Building Height: 1 STORY OWNER/LESSEE: CONTRACTOR: Name JANIS CALEK & OWEN McHUGH Name: KYLE WHITE Address: 679 PONYTAIL LN Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FL Zip Code: 34982 Fax: Phone No. 772-577-4131 Address: 302 MELTON DR City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E -Mail: ARTBIRDS@SBCGLOBAL.NET Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC 1325895 -. -1 -, — — � ��wv ul 111U1 U1 a Rr.,uRucu imotice or commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: X Not Applicable Name: Address: MORTGAGE COMPANY: X Not Applicable Name: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable Name: BONDING COMPANY: X Not Applicable 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 the permit 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 property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing,veprk,ak,r recording your Notice of Commencement. __, ,. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF STLUCIE The for o'ng instrul, ntJas a knowledge efore me thisday of C 20y KYLE WHITE (Name of person acknowledging ) (Signature of Notary Public- State of Flori��,ip�'�S�ri��9�e:66j \e\��s O�N� MANRF`�.��`, Personally Known x OR Produced_& ; 4t-6 V@r' Type of Identification Produced : �� c�ee` 15� 9•• Commission No. FF936050 �* ;(Seal s _ 936050,Q Revised 07/15/2014 cense STATE OF FLORIDA COUNTY OF STLUCIE The for ing instrument w s ac nowledged before me this for of 10-e5120 V,0 by \NA%%ollIUN ,1111, MAiygFs KYLE WHITE �� MI$S(0 •, q i (Name of person acknowledging) a` • �� zmber is a•.: mto� A llenS :• #FF 936050 (Si ffnature of Notary Public- State of Floc—"' aiybe E /�, Z/C.•STX Personally Known X OR Produced Idenrifr�tan Type of Identification Produced Commission No. FF936050 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Owen McHugh Janis Calek 679 Ponytail LN Fort Pierce, FL 34982 Legal Description PALM GROVE S/D BLK E LOT 32 (0.20 AC) (OR 3792-2110) current Values Just/Market Value: $122,700 Assessed Value: $122,700 Exemptions: $50,000 Taxable Value: $72,700 Taxes for this parcel: SLC Tax Collector's Office p Download TRIM for this parcel: Download PDF 0 679 PONYTAIL LN 3410-503-0169-000-4 133288 34/1 OB 0100 PUD Saint Lucie County Total Areas Finished/Under Air (SF): 1,658 Gross Area (SF): 2,440 Land Size (acres): 0.2 Land Size (SF): 8,712 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2016 Saint Lucie County Property Appraiser. 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