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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:. RECIMM Vi Building Permit Applicatiamv.1.21019 Planning and Development Services Building and Code Regulation Division permitting D@pgKment 2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX PERMIT APPLICATION FOR: Roof PR P®SED FI1/I, ROVEMENT LOCATION: Address: 68 AQUA RA DRIVE, JENSEN BEACH Legal Description: WINDMILL VILLAGE BY THE SEA -UNIT TWO-BLK A LOT 12-LESS 36.30 FT Property Tax ID#: 4511-811-0013-010-8 Lot No. Site Plan Name: Block No. Project Name: DOWNEY/RE-ROOF Setbacks Front Back: Right Side: Left Side: DETAILED Now mum ORK: TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL PANEL ROOF SYSTEM (FL#17443.1) OVER OWENS CORNING WEATHERLOCK TILE & METAL (FL#9777.7) SELF-ADHERED UNDERLAYMENT. Ct3NSTR I ION IN'FORMAT(O,N: Additional w rk to be ertormed un er t is permit—c ec a app y: E1HVAC Gas Tank11 ❑Gas Piping _Shutters Windows/Doors . Electric ❑Plumbing Sprinklers Generator W1 Roof 4/12 Roof pitch Total Sq. Ft of Construction: 2,200 S . Ft.of First Floor: 1,176 Cost of Construction:$ 7,325 Utilities:Sewer Septic Building Height: 1 STORY ®�1�NER/LESSEE: C®NTRAGTOR: Name COLIN&CLAIRE DOWNEY Name: KYLE WHITE Address: 17755 118TH TRL N Company: J.A.TAYLOR ROOFING INC City: JUPITER State: FL Address: 302 MELTON DRIVE Zip Code:•33478 Fax: City: FORT PIERCE State:FL Phone No. 954-261-8495 Zip Code: 34982 Fax: 772-468-8397 E-Mail: CINQUENEUF@YAHOO.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. SUPP�EMEN1'AL C®NASTRiUCTt©N EN LAW 1NFORMATIQN DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: _�,Xbt 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 n2ting twice for improvements to your rop rty.A Notice of Commencement must be recorded post on the jobsite before the first ins tion you intend to obtain financing, consult with len r an a ney before commencing wo or rec r in our Notice of Commencement. SignafGre 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 acknowledg�oefore me The forgoing instrument was acknowledged efore me this 6TH day of NOVEMBER ZO !I by this 6TH day of NOVEMBER 20by KYLE WHITE �--1 KYLE WHITE Name of person making statement Name of person making statement Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification Type of Identification Type of Identification Produced Produced (Sig ature of Notary Public-State of Florida) Signature of Notary Public-State of Florida) 1pStY P&& ( N INE MANRESA y ru lNE MANRESA Commission NO. GG 355203 yP.• k+ $ +�� COmmISSIOn NO. GG 355203 10, .�•�Bl� r$� * * sion#GG 355203 •Mr_w� ° Comm sion#GG 355203 Bonded Thru BudgetExpires o ry Servber 15. Qoes aq Expires November 15,2023 Bonded Thru Budget Services REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17