HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. Permit Number: r .
RECENED
M0
Building Permit Application, FEB 2 2 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
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: 6306 MARGARET WAY, FORT PIERCE
Legal Description: LAKEWOOD PARK- UNIT 6- BLK 66 LOT 1 ;
Property Tax ID#: 1301-606-0160-000-6 Lot No.
Site Plan Name: Block No.
Project Name: MACDONALD/RE-ROOF
Setbacks Front Back: Right Side: Left Side':
DETAILED DES;CRIPTION`OF'WORK
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. (31SQ/ 6/12 PITCH)
CONSTRUCTION INFORMATION:
clitional work to a er orme under this permit—check a apply:
❑HVAC Ei Gas Tank Gas Pi _ Windows
❑ in Piping Shutters ❑ Doors11 /
Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 3100 S Ft. of First Floor: 2752
Cost of Construction: $ 10,950 Utilities:cnSewer❑Septic Building Height: 1 FL
OWNER/LESSEE: ` CONTRACTOR:
Name JEFFREY&LAURA MacDONALD Name: KYLE WHITE
Address: 6306 MARGARET WAY 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. 772-216-5599 Zip Code: 34982 Fax: 772-468-8397
E-Mail:JLSMACQCOMCAST.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.
I
SUPPLEMENTAL CONSTRUCTION,LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMMPANY: 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: Nem'e:
Address: Address:
City: City: 1
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 yolyyproperty. A Notice of Commencement must be recorded and posted on the jobsite
before the first i . n. If you intend to obtain financing, consult with I an attorney before
commencin r or r cording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent SignatVre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF STLUCIE
The forgoing instr enf was acknow dgr d before me The forgoing instru nt as ackno edged before me
this 40 day of J 2OJ7 by this�day of U6W,20 f7by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging'2 . 4 N
)
)v )0,on�� — LLi-Xin —
(Si nature of Notary Pu li -State of Florida) (Signature of Notary Public-State of Florida )-
-Personally Known x OR Produceycc �xfffida�tlyc� r,°, Personally Known OR Produced Ic�e► { a4aVya �
Type of Identification Produced �e�° C�;°°;°°°° °°e 9 '`�� Type of Identification Produced
fiber lg °�,0��',Der 15i°°® .
Commission NO. FF936050 eo �) �o�9N m Commission NO. FF936050 -AU) ?�9N 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 �
COMPLETE
INITIALS