HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: L_31, )7 Permit Number: RECEIVED
s Iry
Building Permit Application
JAN 31 2017
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: 421 SUNRISE DRIVE, FORT PIERCE
Legal Description: TROPICAL ACRES BLK B LOTS 46,47 AND 48
Property Tax ID#: 2308-601-0105-000-2 Lot No.
Site Plan Name: Block No.
Project Name: BAUMKER/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DE5 °RIPTION OF WORK
TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL NEW OWENS CORNING OAKRIDGE SHINGLE
ROOF SYSTEM OVER OWENS CORNING SELF-ADHERED UNDERLAYMENT.
(42SQ/5/12 PITCH )
CONSTRUCTION INFORMATION '
Additional work toe nprtormea under this permit—check all appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers ❑Generator W1 Roof
Total Sq. Ft of Construction: 4200 Sq. Ft.of First Floor: 2,054
Cost of Construction:$ 12,050 Utilities: Sewer ElSeptic Building Height: 1 STORY
'9W
'A, ,;y # CONTRACTOR•'
Name CRYSTAL BAUMKER Name: KYLE WHITE
Address: 421 SUNRISE DR Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34945 Fax: City: FORT PIERCE State: FL
Phone No. 772-461-6228 Zip Code: 34982 Fax: 772-468-8397
E-Mail: AWRINC@HOTMAIL.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: CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPRLEMENTAL CONSTRUCTION LIEN LAW'INFORIVIATION
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: 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 fir tion. If you intend to obtain financing, consult with lender or an attorney before
commen ' <7"or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF STLUCIE
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this22 ay of - (02 n 20by this day of c "(1/ 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
( gnature of Notary Pu lic-State of Florida) (Sig6ature of Notary Public-Sf ate of Florida) \rktiilifliit/
a��yi6l749i11J1e�p6 ;ON
l ��e ?°'F� Personally Known x OR Produced \
Personally Known x OR Produced, RF
Type of Identification Produced .;` ° ,
F\5 � ``^� Type of Identification Produced ��
a o°VO�`0
Commission No. FF936050 _ ( a ' ��Noo*� Commission No. FF936050 ����
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#FF 936050 o Q� o;° #FF 936050 oQ`
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Revised 07/15/2014 '° c.STAjE�\����� /lilB�e�O 1i1T a����\
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS