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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: J • 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: 2306 JO HAYWOOD DRIVE, FORT PIERCE Legal Description: CITRUS HEIGHTS S/D LOT 9 Property Tax ID #: 1432-700-0012-000-6 Lot No. 9 Site Plan Name: Block No. Project Name: MIMS / RE-ROOF Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: TEAR OFF SHINGLES. RE-NAIL DECK. INSTALL NEW OWENS CORNING OAKRIDGE SHINGLE ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. (31 SO / 5/12 PITCH) CONSTRUCTION INFORMATION: Additional work to be performedunder this permit — check all appy: HVAC LJ Gas Tank E]Gas Piping _ Shutters a Windows/Doors 1-1 Electric ❑ Plumbing Sprinklers ❑ Generator W1 Roof Total Sq. Ft of Construction: 3100 SFt. of First Floor: 1,220 Cost of Construction: $ 7,750 Utilities:Sewer Septic Building Height: 1 STORY OWNER/LESSEE: CONTRACTOR: Name SHARON MIMS Name: KYLE WHITE Address: 2306 JO HAYWOOD DR Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FL Address: 302 MELTON DR City: FORT PIERCE State: FL Zip Code: 34946 Fax: Phone No. 772-466-9983 Zip Code: 34982 Fax: 772-468-8397 E-Mail: SBMIMS1984@AOL.COM Phone No. 772-466-4040 Fill in fee simple Title Holder on next page ( if different E-Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC 1325895 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: x Not Applicable Name: MORTGAGE COMPANY: X Not Applicable Name: Address: 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 in- ection. If you intend to obtain financing, consult with ,on or an attorney before commencing wor or recording your Notice of Commencement. ,� � s _ Signature of Owner/ Lessee/Agent Signatur of Contractor/License Holder STATE OF FLORIDA COUNTY OF ST LUCIE The for oing instru t was acknowledged before me this day of en , 20 Llby KYLE WHITE (Name of person acknowledging) ure of Notary Public -State of Florida ) Personally Known X OR Produc } 141111111f//fj "4 Type of Identification Produced •O�� ber 15 'Oi ••, Commission No. FF 936050 Cy�al) ?p 9� ° STATE OF FLORIDA COUNTY OF ST LUCIE Thefor oing instru ent was acknowledged before me this day of 20 by KYLE WHITE (Name of person acknowledging ) of Notary Pbblic- State of Florida ) � %%110f1111;d Personally Known x OR Produc ep*p I'*,, Type of Identification Produced v'*` O ^••°• . 9 °�` d Cz�' Jer t5 /9'.• Commission NO. FF 936050 ZaI) �c'.zz '•-fin 'Q2 �O] •.�g�. ennded� Nom: •�Q�7 ••. Bnded��� �� ��Q� Revised 07/15/2014 , 9 ;s>?rNot�y� eZ� A T . o.m Nol Jr, C�V_11�11VN Ii110 0011! B 111001wi REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS � x n d y co w CD x O N og o �n o 0 IrD, CD �cn o ov � y oho in J N A O N N O © rr�-q R. O. H �CD v m a 2, �. w CD CD x O N og o