HomeMy WebLinkAboutB uilding Permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Developmentservices
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
b5E0IWPPR 3VE
Address: 2704 WALKER DRIVE, FORT PIERCE
Legal Description: SHERATON PLAZA- UNIT THREE REPLAT LOT 166
Property Tax ID #: 1432-806-0034-000-1
Site Plan Name:
Project Name: FORTEIREROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE
ROOF SYSTEM (FL#10674.1) OVER 30# FELT UNDERLAYMENT (FL#12328.7).
11 IIHVAC LJ Gas Tank Gas
I. JElectric ElPlumbing OSpi
Total Sq. Ft of Construction: 2,200
Cost of Construction: $ 5,900
Name LASHONDA FORTE JONES
Address: 2704 WALKER DR
Piping UShutters ❑Windows/Doors
nklers ❑ Generator ✓ Roof 5/12 Roof pitch
_ 5q Ft. of First Floor: 1.364
Utilities: -Sewer ESeptic Building Height: l STORY
City: FORT PIERCE State: FL
Zip Code: 34946 Fax:
Phone No. 772-370-1771
E-Mail: LASHONDAFORTE@GMAIL.COM
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
is $2500 or more, a RECORDED
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DRIVE
City,; FORT PIERCE State: FL
Zip Code: Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Ot AppliC�
cable MORTGAGE COMPANY: NFApplicable
Name: Name:
Address: Address:
City: State:_ City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: of 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 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 pro erty. A Notice of Commencement must be recorded and post on a jobsite
before the first inspec ' . If y tend to obtain financing, consult with lender or a or efore
commencin wor recordi our Notice of Commencement.
Sig r er Lessee/Contractor as Agent for Owner
Signature of ontractor Icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STwcre
COUNTY OF snucm
The forgoing instrumentwas acknowledged before me
The forgoing instrument was acknowledged me
this +TM day of WSUCH 2W by
�before
this are day of unaerycH 2Oby
KTLE WHITE
"LEMI E
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known sX OR Produced Identification
Type of Identification
_
Type of Identification
Produced
Produced
(Signature of Notary Public -State of Florida I
(Signature of Notary Publi -State of Florida )
NRESA
Commission No. u0355soa ,ern Seal ADINE MANRESA
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GG355203 tea...... �� NAIjINEMANRESA
Commission Na. bL%6111kslon#GG 355203
elpADINEM
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Expires November 15,202
Expires November 15,2023
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17