HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ��� ort
I RECEIVED
Building Permit Application NOV 1 3 2018
Planning and Development Services ST. Lucie Ccaunty, Permitting
Building and Code Regulation Division -
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof - 5�� �� W -S kA
P.R.O.POSEDs.IIVLFROVENI E3NT1.10CATIQN
Address: 5914 BUCHANAN DRIVE, FORT PIERCE
Legal Description: INDIAN RIVER ESTATES-UNIT 02-BLK 11 LOTS 7, 8,AND 9
Property Tax ID#: 3402-603-0131-000-1 Lot No.
Site Plan Name: Block No.
Project Name: DIPANNI/REROOF
Setbacks Front Back: Right Side: Left Side:
m
DETAILED DESCRIPTION'-O� WORK. � .. •'
TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G UNDERLAYMENT, REPLACE
SKYLIGHTS.
CONSTRUCTION INFORMATIO ;:
Additional work to be performed under this permit—check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers I Generator 17 Roof 612 Roof pitch
Total Sq. Ft of Construction: 4,000 S . Ft. of First Floor: 3,876
Cost of Construction:$ 22,180 UtilitiesInSewer Septic Building Height: 1 STORY
OWNFER/LESS,EE 4x 4 , ' NTRACTOR k ;E
Name SHAWN DIPANNI Name: KYLE WHITE
Address: 5914 BUCHANAN DR Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DRIVE
Zip Code: 34982 Fax: City: FORT PIERCE State: FL
Phone No. 772-361-5780 Zip Code: 34982 Fax: 772-468-8397
E-Mail: SDIPANNI@AOL.COM 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.
SUPFLEMENl'AL.CONSTRU.CTkON LI, N. LAW INFORNIATIO,N
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: trot Applicable BONDING COMPANY: _Lffot 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 Horne 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 prop ty. A Notice of Commencement must be recorded and posted on the jobsite
before the first ' ectio . I you intend to obtain financing, consult with lender an atto y before
commencin ork or re o in our Notice of Commencement.
Signature of Owner essee/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 acknowledged before me
this 26TH day of OCTOBER 20_13by this 26TH day of OCTOBER 20A_C by
KYLE WHITE KYLE WHITE
Name of person making statement Name of person making statement
Personally Known xx OR Produced Ident t0#Is111//p,� Personally Known xx OR Produced Identification
Type of Identification \`�� �`pO�NE. 9�c �ii��� Produced
PrIdentification
Produced `F9
••yVo�� Br 1$`��A�ri+• g� \NE MANAFZ!°�,�r.
• INN4c,.• ..
4 00
(Sign at re of Notary Public- tate f FIoF �'} 050 ;oQ (Signature of Notary Public- tate f Fl�idf,�
Commission No. ( IP�e •pF �\``� Commission No. FF936050 SealklF936050 ?Q
FF 936050 •••...••
°;1 �l 111 111�'\\\\` A�l .�i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
1jMAN1G�ROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW_ REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17 if