HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'Q Permit Number: C__�aI_Q91q5
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Building Permit Application S? &lo
Planning and Development Services Gr�� 010 ��
Building and Code Regulation Division G�Ey�ogE
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
PR 150401 AT11-00 � �e W �
Address: 999 ECHO STREET, FORT PIERCE
Legal Description: WHITE CITY S/D 09 3640 N 105 FT OF S 235 FT-OF W 97.23 FT OF E 608:38 FT OF LOT 222
Property Tax ID#: 3403-502-0273-000-1 Lot No.
Site Plan Name: Block No.
Project Name: CONKLIN/REROOF
Setbacks Front Back: Right Side: Left Side:
TEAR OFF SHINGLE RENAIL DECK. INSTALL METAL SALES 5V METAL PANEL ROOF SYSTEM
(FL#14645.3) OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF-ADHERED
UNDERLAYMENT (FL#9777.7).
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CNSTRLJCTI(?NINFURiATION � � - -
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Additional work to�be nertormed under this permit=check a appy:
HVAC Gas Tank E]Gas Piping _Shutters ❑Windows/Doors ~
❑Electric ❑Plumbing Sprinklers ❑Generator Roof 3f 1 Roof pitch
Total Sq. Ft of Construction: 3,000 SFt.of First Floor: 2,066
Cost of Construction:$ 13,660 Utilities:cn Sewer[]Septic Building Height: 1 STORY
1lVERjLESEE � �� �; CONTRATQt: PCM WIN
Name KENDALL&JEANETTE CONKLIN Name: KYLE WHITE
Address: 999 ECHO 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.772-577-0910 Zip Code: 34982 Fax: 772-468-8397
E-Mail: BETHANYAFRST@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
2. .
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
A ������n����r��cosi� c-��or� ���,ruu �� �a�R�AT��►�: � ��� � .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: } Lil'q-ot Applicable
Name: Name:
Address: Address:
City: State: City: State:-
Zip:
tate:Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not 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 thepermit 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 pa ing twice for
improvements to your property.A Notice of Commencement must be recorded and p? t n the jobsite
before the first inspec . u intend to obtain financing, consult with lender a or ey before
commencing wor ecordljg your Notice of Commencement.
gnature 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 14TH day of JANUARY 20QDy this.14TH day of JANUARY 2�y
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
(Signature of Notary Public-State.of Florida) (SigAature of Notary Public-State of Florida
Commission No. GG 355203deal) NADINEMANRESA Commission'No. GG 355203 0,¢rPf/a gMANRESA
? Commission#GG 3552 3
* ,r Commission#GG 355203
N9, Qac Expires November 15,2 23 a„ ' \ate Expires November 15,2023
OFFS
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17