HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
i
Date: Permit Number:
RECEIVED
AM
.12 2019
Building Permit App I kUkk0b Department
Planning and Development Services St, Lucie County
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
P ER
Address: LOCA1'I®N:
Address: 10701 S OCEAN DRIVE 865
Legal Description. VENTURE OUT AT INDIAN RIVER INC LOT 865
Property Tax ID#: 4511-510-0066-000-7 Lot No.
Site Plan Name: Block No.
Project Name: MATTHEWS/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
D�ETAIt.ED EM 5,1IPTIOIU
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL
PANEL ROOF SYSTEM (NOA# 18-1023.07) OVER OWENS CORNING WEATHERLOCK TILE &
METAL (FL#9777.7) SELF-ADHERED UNDERLAYMENT.
CCJNSI'RU�TIaN I�Ni1=0RNIATION
Additional work to e e orme under this permit—c ec a apply:
�HVAC Ei Gas Tank Gas Piping _Shutters Windows/Doors
❑Electric ❑ Plumbing []Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 1,100 S Ft.of First Floor: 900
Cost of Construction:$ 7,000 Utilities:cnSewer Septic Building Height: 1 STORY
®U1%�N'ER ESSEE: _ CONTRA ®R:
Name CRAIG MATTHEWS&LERNA DINGLASAN Name: KYLE WHITE
Address: 2142 SE ABCOR RD 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.772-370-1502. Zip Code: 34982 Fax: 772-468-8397
E-Mail: MISSHARPERS2@BELLSOUTH.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.
SU'PPLEM'ENTAL CONS�1`Rl1CTI'ON LIEN L ►►W"It =NT1 :
DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: C Ainf-Applicable
Name: Name:
Address: Ad d ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: _ of 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: Zl'
to Record a Notice of Commencement may result in your payin twice for
improvements toy op Notice of Commencement must be recorded and poste n t jobsite
before the first i ction. ntend to obtain financing, consult with lender or an orney fore
commencin Ior recorur Notice of Commencement.
nature of Owner/Lessee/Contractor as Agent for Owner Signature of Con ractor 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 6TH day of NOVEMBER 20 by this 6TH day of NOVEMBER 20by
KYLE WHITE 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 Pr duced
(Sig ature of Notary Public-State of Florida)ADINE MANRESA tu(Signare of Notary Public-State of Florida
,� )
y rues N
Commission No. GG355203 r° �* (saTmission#GG355203 Commission No. ,PRY'°Bi, ADINEMANRESA
GG 355203 ro �••.• o(Sp��mission#GG 35520
Expires November 15,2023 �u
N9OFF�°P` BondedThruExpires
Budget4�°ta7Servbes M
P`oe BonaednwBaao NovembNoruuYSary s
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17