HomeMy WebLinkAboutBuilding Permit Application - I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date: )—7 Permit Number:
REC� "EZauu d fJj i .
Building Permit Application
JAIL 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
,,RROPOSED..I ,P11111".RCIVEMENT LOCATION•;';
.� : .
Address: 221 OLIVE AVENUE, PORT ST LUCIE
Legal Description: RIVER PARK- UNIT 2-BLK 9 LOT 46
Property Tax ID#: 3419-510-0277-000-3 Lot No.
Site Plan Name: Block No.
Project Name: WELSH/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF.WORK:
TEAR OFF SHINGLE AND FLAT. RE-NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC
1"SS METAL PANEL ROOF SYSTEM OVER OWENS CORNING SELF-ADHERED UNDERLAYMENT.
(37SQ/4/12 PITCH ) FLAT PORTION WILL INSTALL POLYGLASS.MODIFIED BITUMEN ROOF
SYSTEM.
CONSTRUCTION°1NFC+RMATION.
Additional work to e nertormed under t ispermit—check all apply:
E1HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11Electric 0 Plumbing Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 3700 S . Ft.of First Floor: 2,044
Cost of Construction:$ 16,820 UtilitiesInSewer Septic Building Height: 1 STORY
OWNER/LESSEE . CONTRACTOR:
.
Name TODD&VIANN WELSH Name: KYLE WHITE
Address: 221 OLIVE AVE Company: J.A.TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL Address: 302 MELTON DR
Zip Code: 34952 Fax: City: FORT PIERCE State:FL
Phone No.561-512-9330 Zip Code: 34982 Fax: 772-468-8397
E-Mail:DOLTRAN@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.
-SUPPLEMENTAL CONSTRUCTION LIEN 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 inspection. If you intend to obtain financing, consult with lend r an attorney before
commencing orfocording your Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature Kf Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The for oing instr ment was ackn ledged before me The for oing instru ent was acknowledged before me
this day of a�V 20 k_1 by this 9 day of �QA'X 1J 0 ] by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
( ignature of Notary Public-State of Florida) (Sigiiature of Notary Public-State of Florida)
Personally Known x OR Produce\d�1d�Htifi �ypn Personally Known x OR Produced\Idnt1,1"} 'd ,,
Type of Identification Producedn01�E r✓i/jN `�,�i Type of Identification Produced o����+..:a?F�c
°VFidSSl0N Commission No. F .q •,,> o••o�N\ NF�A,
F 93soso o G 7 �� Commission No. FF9ssoso
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REVIEWS FRONT ZONINCU SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE 3/1-4
INITIALS