HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I�
COUNTY_
F L, O R r n n �';
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: 2411 SHAMROCK ROAD, FORT PIERCE
Legal Description: ORANGE BLOSSOM ESTATES BLK 2 LOT 11
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front
2421-601-0019-000 (CONFIDENTIAL)
WHARTON/REROOF
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW OWENS CORNING OAKRIDGE SHINGLE
ROOF SYSTEM OVER 30# FELT UNDERLAYMENT (5/12 PITCH)
Additional work to be ertormed
under this permit — check all
rJ
apply:HVAC
Address: 2411 SHAMROCK RD
Company: J.A. TAYLOR ROOFING INC
Gas Tank
Gas Piping
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
Shutters
a11 Windows/Doors
Electric
❑ Plumbing
Sprinklers
❑ Generator
Z Roof
Total Sq. Ft of Construction: 2,900
SFt.
of First Floor: 2,500
Cost of Construction:
$ 9,525
Utilities:cn
Sewer
Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name JAMES WHARTON
Name: KYLE WHTE
Address: 2411 SHAMROCK RD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-332-1238
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
11 vdiue of conscrucuon is iz.�uu or more, a KtLUKutu Notice of commencement is required.
SUPPCEMEN'AL C��R1CTil� HIEN �kU 1NF11�ATiQN:
FRONT
. .
.... '
. .. ,.
DESIGNER/ENGINEER: X Not Applicable
SEA TURTLE
MORTGAGE COMPANY: X Not Applicable
Name:
COUNTER
Name:
Address:
REVIEW
Address:
City: State:
REVIEW
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 post on the jobsite
before the first insp . If y0 intend to obtain financing, consult with lend anrney before
commenci or record' your Notice of Commencement.
_Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST LUCIE
The for ing instrument was acknowledged efore me
this a9 day of 201, by
KYLE WHITE
(Name of person acknowledging )
ff4yilvLY_ 1 / �„ iG�gFPIfllfp
(Signature of Notary Pu lic- State of Florida)
`" •` �\;BION °••, r�
Personally Known x OR Produced I pI ilon�o, 9
Type of Identification Produced ='
�I'r 936050 : Q
Commission No. FF936050
l,^ •hyennded\ OQ�
Revised 07/15/2014
ure of'EeR#aetaf/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The for oing instrume t was acknowledged before me
this day of I:t�� , 20 ] by
KYLE WHITE
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced,48"
Type of Iden•SSItification Produced �a
Vol
Commission No. FF 936050 �* • (S° I1
,
z #FF 936050
•STAZti
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS