HomeMy WebLinkAboutJACOBS APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and De✓elopmen[Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof
Address: 356 E MIDWAY ROAD, FORT PIERCE�i di�,
Legal Description: WHITE CITY S/D 03 36 40 E 2 AC OF LOT 28-LESS RD
Property Tax ID #: 3403-502-0053-000-3
Site Plan Name:
Project Name: JOHN JACOBS CONSTRUCTION /REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAL. DECK FOR THE REAR BUILDING. INSTALL NEW JA TAYLOR 5V
CRIMP METAL (FL#17443.1) OVER TWO LAYERS OF TAMKO 30# FELT (FL#12328.7)
UNDERLAYMENT.
CONSTRUCTION
II��II
LQI HVAC
.
Gas Tank
u„u pennu—cnecx au apply:
❑Gas Piping
Windows/Doors
Electric
Plumbing
_Shutters
Sprinklers Generator
Roof 7/i2 Roof pitch
Total Sch Ft of Construction:
2,400
S Ft. of First Floor: 432
Cost of Construction:$10,800
Utilities
Sewer
Septic
Building Height: l STORY
Name MBA BUSINESS ENTERPRISES LLC
Address: 356 E MIDWAY ROAD
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-521-0798
E-Mail: JMJACOBS03@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 7724664040
E-Mail: ASHLEYGJATAYLORROOFING.COM
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement
SUPPLEMENTAL CO L.UCTION LIEN LAW INFORMATION:
Name: • r •� �«���•.,,mQ L vppncame
Name:
MORTGAGE COMPANY: _ ble
of A� ppljca
Name:
AddreSS:
Address:
City: State:_
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Ot Applicable
BONDING COMPANY: of Applicable
Namc
�'b� Address:
City: City:_
Zip: Phone: Zip:_
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 lender n attorney before
commencing work o ecordfng vnur Nnfirc nP rr,n,H,e,.�o,.,o.,. .r
Signature of Own r Lessee/Contmctoras Agent for Owner
Signature dBO!!ntract8?71c_enne Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF snuciE
COUNTY OF snot,.
The forgoing instrument was acknowledgedbefore me
The forgoing instrument was acknowledged before me
this Iml day of MNaARY 2p`atby
this 15TH da of .NMIARY
Y
20m by
KYLE MITE
mE MITE
Name of person making statement
Name of person making statement
Personally Known m OR Produced Identification _
Personally Known ra
OR Produced Identification
Type of Identification
Type of Identification
_
Produced i
Produced
(Signature of Notary Publi -State of Florida)
(Sig ature of Notary Public -State of Florida )
xav Pu NADINEMANRES
.em^os NADINEMANRESA
Commission No. GG 355203 @al)Commisskn#GG3550�ommission
l5,
No. GGa5s2m
023
"`�r;E/hx(Sealjmissisn#GG 35520
Exp:ros November
l'Fae
Ezgres November 15. 202
veoT�T eonaaemmauaaa�xoiar
'erno° emaeamn,ews.�xa.Hsa'+r�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17