HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION TO BE ACCEPTED /�f l
Date: / ' "�/• j7 Permit Number: / / 0/ 6
RECEIVED
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Building Permit Application JAN 31 2017
Planning and Development Services
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 LOCAT,IONWN
•.-
Address: 2402 RIVER HAMMOCK LANE, FORT PIERCE
Legal Description. RIVER HAMMOCK LOT 3 '
Property Tax ID#: 3404-702-0003-000-5
Lot No.
Site Plan Name: Block No.
Project Name: CHIDGEY/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
DETAIfLED DESCRIPTIONbOF WORK °" 61,11
TEAR OFF SHINGLE. RE—NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING SELF—ADHERED UNDERLAYMENT (33SQ/5/12
PITCH). ON FLAT PORTION INSTALL POLYGLASS MODIFIED BITUMEN ROOF SYSTEM (6SQ).
REPLACE TWO CURB MOUNT SKYLIGHTS.
CON'STRUCTIC}lV INFORMATION "
. .
Additional work to e e orme un erthis permit—check a app y:
�HVAC E]Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3900 S Ft.of First Floor: 2947
Cost of Construction: $ 16,820 Utilities:n Sewer Septic Building Height: 1 STORY
O1t1tNER/LESSEE ;CONTRACTOR:
� �� � ���� �� � �wrP
Name MICHAEL&KAYLA CHIDGEY Name: KYLE WHITE
Address: 2402 RIVER HAMMOCK LANE Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34981 Fax: City: FORT PIERCE State:FL
Phone No. 772-579-9812 Zip Code: 34982 Fax: 772-468-8397
E-Mail:MOXXYKI9@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: CCC 1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
SUPPLEMENTAL`CONSTRUCTION LIEN",LAW IN ,,,W 1lI00k '` . .
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 prohiblt'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 ins ion. If you intend to obtain financing, consult with lender or an attorney before
commencing wG_rk-6Mcording your Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signa ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instr ent was acknow edged before me The forgoing instr ment was acknowledg d before me
thisday of 20by this ZDday of 0 GtiC 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
)Qg�nature of Notary Public-State of Florida) (Si nature of Notary Publi -State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Id tiifa1d4flarr
Type of Identification Produced `�`oo`y'ti091i1l;Bs T e of Identification Produced ado \t1E M '>1
yP / yP �0 ANON s
ee�� ° 6 �p115S10�;° `sq$`'r,
Commission No. FF936050 0 .p$SIOryF :9 `'<� Commission No. FFs3soeo b �� (�berrsFao'°
;9FF 936050 °
Revised 07/15/2014 0°° #FF936050
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