HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
CC�iUhiTY �•" ';
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: 2526 HARBOUR COVE DRIVE
Legal Description: CORAL COVE BEACH - SECTION ONE THAT PART OF TRACT B - AKA HARBOURCOVE UNIT 38
Property Tax ID #:
Site Plan Name:
Project Name: LEIBOWITZ/REROOF
Setbacks Front
1425-701-0064-380-3
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
TEAR OFF SHINGLE. INSTALL 30# FELT AND OWENS CORNING OAKRIDGE SHINGLE ROOF
SYSTEM. (6/12 PITCH)
Additional work to be
ertormed
under this permit — check
a app Y.
HVAC
Company: J.A. TAYLOR ROOFING INC
Gas Tank
❑Gas Piping
_
Shutters ❑ Windows/Doors
❑ Electric
❑ Plumbing
Sprinklers
Generator a Roof
Total Sq. Ft of Construction: 3,400
Sq. Ft. of First Floor: 2,774
Cost of Construction:
$ 9,350
Utilities:
I]Sewer
ptic Building Height: 1 STORY
[]Se—
OWNER/LESSEE:
CONTRACTOR:
Name DAVID & PEGGY LEIBOWITZ
Name: KYLE WHITE
Address: 8 TALL PINES DR
Company: J.A. TAYLOR ROOFING INC
City: BARRINGTON State: RI
Zip Code: 02806 Fax:
Phone No. 772-882-8334
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E -Mail: _
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
lD y GjVV U1 mule, d Rrwnuru rvouce or 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 r property. A Notice of Commencement must be recorded and posted on the jobsite
before the firs ec ' n. If you intend to obtain financing, consult with le er n attorney before
comme ' work or cording your Notice of Commencement. /]
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLuclE
The forgoing instrument was ckno edged before me
this day of 0 1Zby
KYLE WHITE
(Name of person acknowledging )
�Sijnature of Notary Public- State of Florida
Personally Known x OR Proda�Qrxec�tificaid�
Type of Identification Produced `' •'• 1SSI0/y cam• —%•�
Commission No. FF 936050 * (gealj•� u �c
#FF 936050 : Q
re ottertractor/License
STATE OF FLORIDA
COUNTY OF ST LUCRE
The forgoing instrumentwa ackn wI dged before me
this � day ofi20 12 by
KYLE WHITE
(Name of person acknowledging )
igfiature of Notary Publics State of Florida )
Personally Known x OR Produced I11t�lltfill/
���//ii
Type of Identification Produced:••""'••.
.i ••.-�assiey����
VO Neer is AK
Commission No. FF 936050 Z
:�Notarl;:•'
Revised 07/15/2014%i�iB���,.s . kA%%\Notari \
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