HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 00a -O�W_
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Building Permit Applications 1 1017
Planning and Development Services
Building and Code Regulation Division PERMIT T ING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 9950 GATSBY LANE, FORT PIERCE
Legal Description: 335 39 NW 1/4- LESS AVON MANOR - UNITS 1-AND 2 AND LESS W 615.5 FT LYG S OF AVON
MANOR-UNIT 1 AND LESS CANAL AND RD RS/W AND LESS 1-95 AS IN OR 237-1372
Property Tax ID#: 2302-211-0025-000-5 Lot No.
Site Plan Name: GOLDEN PONDS Block No.
Project Name: SHARLOW/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 TILE & METAL
SELF-ADHERED UNDERLAYMENT. (11 SQ /3/12 PITCH)
CONSTRUCTION INFORMATION:
Additionalworkto a er orme under t is permit—c ec a apply:
TI
E1HVAC Ei Gas Tank Gas Piping _Shutters Windows Doo
❑ P g ❑ / rs
1-1 Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 1100 S Ft. of First Floor: 1000
Cost of Construction: $ 5,260.00 Utilities:CnSewer 0Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name WADE SHARLOW Name: KYLE WHITE
Address: 9950 GATSBY LANE Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34945 Fax: City: FORT PIERCE State:FL
Phone No. 419-466-6985 Zip Code: 34982 Fax: 772-468-8397
E-Mail:WEAKHEARTBEATI @YAHOO.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.
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 you roperty. A Notice of Commencement must'be recorded and posted on the jobsite
before the first i ITcording
. If you intend to obtain financing, consult with lender or an attorney before
commenci rk rour Notice of Commencement.
s
_Sig ture of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF ST LUCIE
The forgoing instru �t w s acknowle ged before me The forgoing instrument was acknowledged before me
this day of r0 Qby this day of 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
%g)nlature -State of Florida) ®a`14o011pra�s (Signature of Notary Public-State of Florida)
0/
tr MAN F�j01,
Personally Known x OR Produced1l`ta'agt� � R S `°��� Personally Known x OR Produced Identification
Type of Identification Produced FPo•. Type of Identification Produced
o d� oe�r .�o��,
Commission No. FF936050 4 Sala ;*::Commission No. FF936050 (Seal):
##FF 936050 ;Q
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 -I
COMPLETE
INITIALS