HomeMy WebLinkAboutBuilding permit app ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: �� _ Permit Number: 0
Building Permit Application RECEWED
Planning and Development Services JAN 13 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION
Address: 6008 PALM DRIVE, FORT PIERCE
Legal Description: INDIAN RIVER ESTATES- UNIT 08 BILK 68 LOT 10
Property Tax ID#: 3402-609-0580-000-1 Lot No. 10
Site Plan Name: Block No. 68
Project Name: ELLIOTT/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL NEW OWENS CORNING SHINGLE ROOF
SYSTEM (19SQ/3/12 PITCTH) AND METAL SALES 5V CRIMP PANELS (7SQ / 1/12 PITCH)
OVER 30# FELT UNDERLAYMENT.
CONSTRUCTION INFORMATION:
Additional work to be performed' under this permit—check all apply:
�HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing ❑Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 2600 S Ft. of First Floor: 1097
Cost of Construction:$ 7,500 Utilities:
Sewer 0Septic Building Height: 1 STORY
OWNER/LESSEE:, CONTRACTOR:
Name LORI ELLIOTT Name: KYLE WHITE
Address: 6008 PALM DR Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No. 772-201-1438 Zip Code: 34982 Fax: 772-468-8397
E-Mail: FASTBOO@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: CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 Notice of Commencement must be recorded and posted on the jobsite
before the first inspe . If you intend to obtain financing, consult with>Ztvor an attorney before
commencing w cording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signatu a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The f r oing instrALiment was ackn wledged before me The forgoing instrument was acknowledged before me
this day of 20 Ley this L day of U 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
(Si ature of Notary Public-State of Florida) (Signature of Notary Public-State of Florjd�}`-`MAN
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\® /// �: Wit`�•°ti l0 • q ��%
Personally Known x OR Prod � -1 1 /OX Personally Known x OR Produced l l
Type of Identification Produced ° �so��SNF_• �% Type of Identification Produced •',� ,e� ?0 9�";
y
Commission No. FF93soso eall m can Q*_ Commission No. FF936050 - m ($jO6050
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A�^ #FF936050 :•Q `��9'•� °n��a��, ;
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 1�
COMPLETE l
INITIALS