HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a.\`� �1 Permit Number:
R,ECEJ p FEB B 2017
Building Permit Application
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
�P:R"OPOSED IMPROVEMENT-LOCATION,"- t :.-
Address: 6707 BELLEAIR AVENUE, FORT PIERCE
Legal Description: LAKEWOOD PARK- UNIT 9-BLK 112 LOT 11
Property Tax ID#: 1301-611-0259-000-3 Lot No. 11
Site Plan Name: Block No. 112
Project Name: DILLON/REROOF
Setbacks Front Back: Right Side: Left Side:
,DETAILED DE CRIPTION OF WORK: '
TEAR OFF SHINGLE, RE—NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. (24SQ/3/12 PITCH)
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COKN5TRUCTIO.N INFORMATION:
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Additional work to be nertormed under this permit—check all apply:
11HVAC Gas Tank Gas Piping In_Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers E Generator W1 Roof
Total Sq. Ft of Construction: 2400 S Ft, of First Floor: 1161
Cost of Construction:$ 8,880 Utilities: Sewer Septic Building Height: 1 STORY
"O\N.NE'R/LESSEE:` CONTRACTOR:
Name JANET DILLON Name: KYLE WHITE
Address: 6707 BELLEAIR AVE 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. 269-967-4845 Zip Code: 34982 Fax: 772-468-8397
E-Mail: JD413@SBCGLOBAL.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.
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SURPLEMENTAL.'CONSTRUCTION LIEN IAW INFORMATION:
DESIGNER/ENGINEER: x_Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State: I
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 firs ction. If you intend tc obtain financing, consult with r an attorney before
commenc' o or recordin your Notice of Commencement.
s
_SI nature of Owner/Lessee/Agent Signatur4 of Contractor/Licen a Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The fog ing instrumikInt was ackno edged before me The for oing instrum nt was acknowledged before me
this day of 20 CLby this day of a� 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
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S' nature of Notary Public-State of Florida) ( gnature of Notary Public-State of Fleticla,)p1w
Personally Known x OR Produced IdeptifJ tin Personally Known x OR Pro dced•tdYi{ficlb _
Type of Identification Produced ,ee°��NF.MA(VqN/r., Type of Identification Produced
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Commission No. FF936050 a°�a5aall)78`r10'" a Commission No. FF936050 (SbU)6050
o N y�ended IhN o i.
#FF 936050 o®oQ` ���da pdaii1411 je��\\�'
Revised07/15/2014 ;J;o -'0 no e dNe��oQ`
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REVIEWS FRONT ZONING OERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE .AA�
\I N ITIALS JIM—