HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r1
Date: ( 0 Permit Number: U
RECEIVED
Planning and Development Services Building Permit Application
JUN 0 12018
Building and Code Regulation Division ST. Lu,^ce County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2916 NINE IRON DRIVE, PORT ST LUCIE
Legal Description: LINKS AT SAVANNA CLUB - BILK 37 LOT 35
Property Tax ID#: 3425-707-0135-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL NEW OWENS CORNING SHINGLE BOOF
SYSTEM OVER OWENS CORNING WEATHERLOCK G UNDERLAYMENT.
CONSTRUCTION INFORMATION:
Additional work to be performed under t ispermit—check all appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator 121 Roof 3/12 Roof pitch
Total Sq. Ft of Construction: 2,200 S Ft. of First Floor: 1,807
Cost of Construction: $ 7,840.00 Utilities:Sewer l:]Septic Building Height: 1 STORY
OWN ER/LESSEE: CONTRACTOR:
Name SHIRLEY MORGAN Name: KYLE WHITE
Address: 2916 NINE IRON DR Company: J.A. TAYLOR ROOFING INC
City: PORT ST LUCIE State:FL Address: 302 MELTON DRIVE
Zip Code: 34952 Fax: City: FORT PIERCE State: FL
Phone No. Zip Code: 34982 Fax: 772-468-8397
E-Mail: MORGAN_AUTO@ATT.NET 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: CCC1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: lLbl # Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: k--*ot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 the jobsite
before the first insp i in. If you intend to obtain financing, consult with lender o ney before
commencin or reco,4ng your Notice of Commencement.
ell
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgeSL before me
this 22ND day of MAY ,20_1&_ by this 22ND day of MAY 20A by
KYLE WHITE KYLE WHITE
Name of person making statement Name of person making statement
Personally Known xx OR Produced Identij iEgotigW Personally Known xx OR Produced Identification
Type of Identification N.\'\ Produced NEA�1, �iType of Identification \111;44ii4Nle�i�
Produced ,F Produced -`\\ N\ EMAN 1i
p\ RFc1r'i
oe, .J�'�embe�1S�o: ���\ �P e\SSIO/y
(Signature of Notary Pu ic-State of Flojidii 30050 (Signat re of Notary Public-Sate of FIrta )
'yJ9L�•adg��dt��s•:
Commission No. FF936050 y�� C ry �� ����� Commission No. FF936050@tdadlh Nig,•O�\��
%�it
�llll 441 111 \\\ , ..LN% b
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17