HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' �" I Permit Number: 1 I L)
SEC IEIVEM
Building Permit Application FEB 2 2 2041
Planning and Development Services
;
Building and Code Regulation Division PERr,;iiTT ii 3St. Lucie PL.
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: 7605 HIBISCUS ROAD, FORT PIERCE
Legal Description: LAKEWOOD PARK- UNIT 5 - BLK 41 LOT.15
i
Property Tax ID#: 1301-605-0041-000-3 Lot No.
Site Plan Name: Block No.
Project Name: DENNIS/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK SELF-ADHERED
UNDERLAYMENT. (33SQ /5/12 PITCH)
CONSTRUCTION INFORMATION:
Additional work to be er orme under this permit—check a app y:
In
11HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing 11 Sprinklers Ilenerator 1z Roof
Total Sq. Ft of Construction: 3300 S Ft. of First Floor: 2056
Cost of Construction: $ 10,300 Utilities:n Sewer Septic Building Height: 1 FL
OWNER/LESSEE: CONTRACTOR:
Name JOHN&MARY DENNIS Name: KYLE WHITE
Address: 7605 HIBISCUS ROAD Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34951 Fax: City: FORT PIERCE State.FL
Phone No. 772-519-3175 Zip Code: 34982 Fax: 772-468-8397
E-Mail: IDCONSTRUCTIONCO@BELLSOUTH.NET 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.
AOL
SUPPLEMENTAL CONSTRUCTION LIEN .LAW INFORMATIQN:.
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 ' ection. If you intend to obtain financing, consult wi d r an attorney before
commencin or recordingour Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signaf6re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The for oing instru t as acknowledged before me The for oing instrum t gas acknowledged before me
this day of _by thisay of b` Cc.�L 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
uu�2:aA_� I
(51griature of Notary Public-State of Florida,),1;�}i1llBl9dlQ ( 'gnature of Notary Public-State of Florida
MANRFsi�p��� E��ai,�irrrrra�®a
Personally Known x OR Produci Iiatg�`�°� °9 Personally Known x OR Produced Id Ffl�fAN�/r;
Type of Identification Produced Type of Identification Produced_
�GoeOberlsEfo�
Commission No. FFs3so6o s(Sea]) �.® o'�Y Commission No. FF936050 �,�� � , '�9N0
#FF 936050
#FF 936050
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS