HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 22
Date: 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 XX
PERMIT APPLICATION FOR: Roof
PROPOSED IN(.PR®1/EE .T L®CATIO
Address: 335 BARRACLOUGH STREET, FORT PIERCE -FLAT ROOF ONLY
Legal Description: REPLAT OF PALM GARDENS BLK 3 LOT 3
Property Tax ID#: 3403-802-0031-000-4 Lot No.
Site Plan Name: Block No.
Project Name: PETERSiREROOF
Setbacks Front Back: Right Side: Left Side:
Mil
DE�TAI'[.ED DE.�SCR1PTION ®F W®RK:
TEAR OFF ROLL ROOFING, RENAIL DECK, INSTALL NEW POLYGLASS (W-6o MODIFIED
BITUMEN ROOF SYSTEM 2-SQ (FL#1654-R24)
All
=CvONSTRU7C;-04T,11,..,05.,N INFOR(1/1ATI®N-
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank []Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 200 S Ft.of First Floor: 1,425
Cost of Construction:$ 2,750 Utilities:CnSewer-E]Septic Building Height: 1 STORY
®1l1/NER/LESSE: C®NTICTOR: WON
Name STEPHEN PETERS JR Name: KYLE WHITE
Address: 335 BORRACLOUGH ST 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. 772-267-0909 Zip Code: 34982 Fax: 772-468-8397
E-Mail: LOSTLEVEL3DS@ICLOULD.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.
1JPF'LE ENI'AL,CONSTRUC I11 LIEN L °UU°IN'F®RI\/1.4T1®N.
DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: LLPdot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: LK10t 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 prop y. A Notice of Commencement must be recorded and post on the jobsite
before the first inspecti yo 'ntend to obtain financing, consult with lender ora r ey before
commencing work cording/your Notice of Commencement.
Sign atua er/Lessee/Contractor as Agen or Owner Signature o on (cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledge efore me The forgoing instrument was acknowledged before me
this 13TH day of NOVEMBER Z��6by this 13TH day of NOVEMBER 20�9 by
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 Produced
ig ature of Notary Public-State�cvF,lgrida) NADINE MANRESA ( ign tura of Notary Public-State of Florida)
Cj mmisston#GG 355203 0�►�'P�B�, NADINEMANRESA
� r :..,�, o
Commission No. GG 355203 eJe IresNovember15,20 Commission No. GG 355203 * dealon#GG355203
�NoFFLo9`° Wdedvousutet'*4 a `ot Expires November 15,2023
-'�
FOFFL�P Bonded Thru Bodo NoWy Smkes
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17