HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE-COMPLETED FOR APPLICATION TO BE ACCEPTED 10-oz
Date: Permit Number: °l ol
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Building Permit Application4t;gD
Planning and Development Services °Unty ht
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
PROP®SED IMPRO /E�M`E�NT LOC�ATIQ _�
Address: 2402 OAK DRIVE, FORT PIERCE
Legal Description: -REV PL OF FORT PIERCE SHORES-UNIT 5 BLK 4 LOTS 66 AND 6C
Property Tax ID#: 1436-602-0002-000-4 Lot No.
Site Plan Name: Block No.
Project Name: LAFLAMME/REROOF
Setbacks Front Back: Right Side: Left Side:
DEl'AI'CED 'DESCR91!hTI®N OF WORK:.; z
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TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR EDGE-LOC STANDING SEAM
METAL PANEL ROOF SYSTEM (NOA#18-1023.17) OVER OWENS CORNING WEATHERLOCK
TILE & METAL (FL#9777.7) SELF-ADHERED UNDERLAYMENT.
COMSTRl1Eli
CTl0N I!NF®RMATI®N:
Additional work tonGasTank
r orme un er this permit—check a appy:
11HVAC ❑Gas Piping _Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 4,400 Sq. Ft.of First Floor: 3,252
Cost of Construction:$ 23,540 Utilities: 0 Sewer El Septic Building Height: 1 STORY
01iV"�NER/LESSEE: CO�� �RA` CT®R:
Name THOMAS&KATHLEEN LAFLAMME Name: KYLE WHITE
Address: 2402 OAK DR Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DRIVE
Zip Code: 34949 Fax: City: FORT PIERCE State:FL
Phone No.772-801-4290 Zip Code: 34982 Fax: 772-468-8397
E-Mail: LAFLAMMETOM@GMAIL.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 pr more,a RECORDED Notice of Commencement is required.
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SUPPLEIUIENTAI C®N4ST'RdU�(®N LffN LAW i'N�F®RIVIATI®N°:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: L— kpplicable
Name: Name:
Address: Address:
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:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A otice of Commencement must be recorded and posted on the jobsite
before the first inspec ' . If you tend to obtain financing, consult with lender or an rn efore
commencingwor recordin ur Notice of Commencement.
Signature of Owner/ essee/Contractor as Agent for Owner Signat re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledgFqefore me
this 21st day of FEBRUARY 20 y this 21st day of FEBRUARY ZOpy
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) (Sig ature of Notary Public-Aate of Florida)
tpgv Abp NADINE MANRESA
Commission No. GG355203t°•'•••'•`" COm(�N&.#GG 355203 Commission No. GG 355203 �����pp 11��
1 c� Expires November 15,2023 ?o °o NORPMANRESA
9rFOFf1,0¢� BondedTlwBudget NotarySenlces * * Commission#GG 355203
Ex Tres November 15 2023
OF F�0'0 Bonded TMu t udget NolaryS wloas
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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