HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
"Date: Permit Number: l
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RECEIVED
Building Permit Application JAN 17 7018
Planning and Development Services Permitting Department
Building and Code Regulation Division St.Lucie County
12300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PR"OPO`SED IIVIROUEMENT LOCATIOR! ` �
Address: 240 SANDY BOTTOM PL A 02
Legal Description: TROPICAL ISLES - UNIT A-02
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Property Tax ID#: 3410-508-0002-000-1 Lot No.
Site Plan Name: I Block No.
Project Name: JANYSKA/REROOF
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(Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ' � � � � �
z+.=' 79md'1, 4 A 011
- �
x,
ITEAR OFF SHINGLE, RE-NAIL DECK. INSTALL NEW OWENS CORNING OAKRIDGE SHINGLE
PROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G UNDERLAYMENT. (3/12 PITCH,
122 SO). REPLACE SKYLIGHT.
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CO.NSTRUCTIfJ INFOyRMATION
Additional work to be e ed under this-permit-c ec all appy:
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HVAC Gas Tank Gas Piping _Shutters :I Windows Doors
ElElectric El Plumbing Sprinklers E Generator . Roof
!Total Sq. Ft of Construction: 2,200
Sq. Ft. of First Floor: 1,627
Cost of Construction:$ 7,600 Utilities:DSewer E]Septic Building Height: 1 STORY
01NNER/LESSEEa ,«.: aONTRACTOR � a
Name BERNARD&JOYCE ANN JANYSKA Name: KYLE WHITE
Address: 2302 FOREST HILL RD Company: J.A.TAYLOR ROOFING INC
City: MARRIOTSVILLE State: MD Address: 302 MELTON DR
Zip Code: 21104 Fax: City: FORT PIERCE State:FL
Phone No. 443-340-6454 Zip Code: 34982 I Fax: 772-468-8397
E-Mail: JAJANDBVJ@GMAIL.COM Phone No. 772-466-4040'
Fill in fee simple Title Holder on next page(if different E-Mail: NADINE@i!JATAYLORROOFING.COM
from the Owner listed above) State or County Li Tense: : CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.!
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SU`PPL'E{UIENTAL CONSTRUCTION`LIEW;1"L / tNFORMATIO'N
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DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x_Not Applicable
Name: Name:
Address: Address:
City: State: City: I 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. LucieCounty makes no representation that is granting a permit will authorize the permit holderito 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 an'y 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
iIn 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 yo property. A Notice of Commencement must be recorded and post on the jobsite
before the firstjoWecti If you intend to obtain financing, consult with le ranrney before
commen ' ork or r rdin our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License,Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIECOUNTY OF STLUCIE
The forgoing instrur=t was acknowledged before me The for oing inst a It was acknowledged before me
this_L5clay of U 20 I1&by this day of 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
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(Si nature of Notary Public-State of Florid 1 (Signature of Notary Public-State of Flor )1111111f1/
�a\\ NEMANq //e/i Personally x
PersonallyKnown x OR Prod�ero ngt � % y Known OR'Prod
Type of Identification Produced ��`� FY '• �� Type of Identification Produced` :oar
Commission No. FFsssoso �* e�( �� :*e Commission No. FFsssoao
#FF 936050 #FF 936050
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I Revised 07/15/2014 �/io��e ic,s \` /, a%/Btic,STP`;
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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