HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I � A'l `aa Permit Number:
RECEIVED
Building Permit ApplicaLionJAN 212020
Planning and Development Services cie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xx Residential
PERMIT APPLICATION FOR: Roof — �,— 1 III
Address: 2700 INDUSTIRAL AVENUE 3, FORT PIERCE
Legal Description: AIRPORT INDUSTRIAL PARK- UNIT ONE - BLK 7 LOTS 10 AND 11
Property Tax ID #: 1429-501-0114-000-0
Site Plan Name:
Project Name: SLCOUNTY/REROOF
Setbacks
Back: Right Side:
Left Side:
Lot No.
Block No.
REPAIRED LEAKS/DAMAGES TO EXISTING ROOF BY REMOVING TPO MATERIALS ON THREE
AREAS. INSTALL NEW PIECE OF METAL, INSULATION AND NEW TPO PER CODE
REQUIREMENT.
HaamonaiworKcoDe errormea unoerimsperm¢—cnecKau apply:
11 Gas Tank E]GasPiping _Shutters ❑Windows/Doors.
11 Electric 0 Plumbing Sprinklers Generator 21 Roof 0/12 Roof pitch
Total Sq. Ft of Construction: 5'FT S Ft. of First Floor: 21,019
Cost of Construction: $ 2,560 Utilities:n Sewer DSeptic Building Height: 1 STORY
OWNEit/�LES'SEE
GONTRA(T,OR;
Name ST LUCIE COUNTY
Name: KYLE WHITE
Address: 2300 VIRGINIA AVE
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-216-0168
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above) .
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPFEEMENIAL CONSeTiRUCf10N LIEN LAWNFORMA�TION:
DESIGNER/ENGINEER: _ of Applicable
Name:
MORTGAGE COMPANY: of Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable
Name:
BONDING COMPANY: _Not Applicable
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 pr �erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first ins p io If you intend to obtain financing,consult with lender or an att ey before
commencing rec rding your Notice of Commencement.
Signature of Owner/ Lessee/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 7TH day of JANUARY 20 QD by
this 7TH day of JANUARY 20a0 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
(Si nature of Notary Public -State lorida) NADINEMANRESA
(Signature of Notary Pu(lic-State of Florida
6GINEMANRESA
o�fs�s
Commission No. 355203 'mislon#GG355203
'Psyco
a ' k In#GG355203
Commission NO. GG 355203GG
�mber15,2023
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Rev.8/2/17