HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED e� Q
Date: Permit Number: �� 0 1 1 I
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.IMPROVE MENT°LOCATION:
Address: 7404 ROBERTS ROAD, FORT PIERCE, FL
Legal Description: LAKEWOOD PARK UNIT 2 BLK 15 LOT 20
Property Tax ID#: 1301-602-0114-000-7 Lot No.20
Site Plan Name: Block No. 15
Project Name: HEMBREE RE-ROOF (GARAGE ONLY)
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION, F WORK: Ea
TEAR OFF SHINGLE ROOF . RE-NAIL DECK. INSTALL OWENS CORNING OAKRIDGE
SHINGLE ROOF SYSTEM OVER 30# FELT LINERLAYMENT. (4 / 12 )
CONSTRUCTION INFORMATION.
t,
Additional work toe e orme a under this permit—c ec appy:
HVAC E]Gas Tank Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator rV11 Roof
Total Sq. Ft of Construction: 1200 S Ft.of First Floor: 624
Cost of Construction:$ 3900 Utilities:Sewer Oseptic Building Height: 1 STY
"OUVNER/LESSEE: CONTRACTOR:
. . .:
Name CHARLES R HEMBREE Name: KYLE WHITE
Address:620 RAINTREE ROAD Company: J.A.TAYLOR ROOFING INC
City: LEXINGTON State: KY Address: 302 MELTON DR
Zip Code: 40502 Fax: City: FORT PIERCE State:FL
Phone No.772.643.8450 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: CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL`CONSTRUCTION:LIEN.LAW IN ,,ORMATION,,
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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
cont menciag work or recording our Notice of Commenceni Commence .ent.
a VA 4
s
Si ature of Owner/Lessee/Agent Sikn6,rue 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
this —2 day of Wen 6-9--e- 20 1Zby thisr2—day of Oc,1 ey)6P .20 17 by
KYLE WHITE J KYLE WHITE
;isnatoufre
m person acknowledging) (Name o erson acknowledging)
of tary Publi -S ate of Florida) (Si ture of Notary Pub' ate of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
GG063270 SAY POB VAERIE J DELGADO GG063270 '`'�t�Y P�-B��' J DEIGApO
Commission No. o .••. (Se Commission No.
AL.
MY COMMISSION#GG 063270ION#GG07a
,2021
EXPIRES:May 14,2021 qr �o� EXPIRES:May 14
le0i F10' Bonded Thru Budget Notary Services DunaeUN Budget Notary Services
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS