HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l l
I51
, . RECEIVEL
Building Permit Application MARI 9 2017
Planning and Development Services II I
Building and Code Regulation Division PERMITTING 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County,Ft
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED I'IVIPROVEiVIENT LOCATIt1N:`
Address: 5301 PALEO PINES CIRCLE, FORT PIERCE
Legal Description: HOLIDAY PINES S/D - PHASE II -B LOT 353
Property Tax ID#: 1312-801-0156-000-8 Lot No.
Site Plan Name: Block No.
Project Name: HURST/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK ' '
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL NEW "JA TAYLOR ROOFING -
00 G EDGE LOC 1 SS
METAL ROOF SYSTEM (33 SQ/5/12 PITCH) AND ON LOW SLOPE INSTALL 5V CRIMP METAL
ROOF SYSTEM (10 SQ / 1 1/2/12 PITCH) ALL OVER 30# FELT UNDERLAYMENT.
CONST.RUCTION"INFORM, ION
Additional work to a er orme under this permit—check a app y:
�HVAC Ei Gas Tank Gas Piping Shutters Windows Doors
11 Electric ❑ Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 4300 S . Ft. of First Floor: 1,859
Cost of Construction:$ 14,300 Utilities:cn Sewer E]Septic Building Height: 1 STORY
,dWNER/LESSEE." a, ,�i���� CONTRACTOR:
Name DAVID HURST Name: KYLE WHITE
Address: 5301 PALEO PINES CIRCLE 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. 772-519-0103 Zip Code: 34982 Fax: 772-468-8397
E-Mail: DHURST00211AOL.COM Phone No. 772-466-4040
Fill in fee simple Title Holder on next page(if different E-Mail: NADINE@JATAYLnRROOFING.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 ILAW INF0RMATlQ1 :
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 rec ago posted on the jobsite
before the first inspectiontif you intend to obtain financing, consult with-le er er n attorney before
commencing wyofbo rec r6ing vour Notice of Commencement.
s
_Sign ure of Owner essee/Agent Signat6re of Contractor Icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgQing instrume was a knowledged before me The forgAng instrull e l was acknowledged before me
thisday of 2011—by thisay of ( 20 k�T by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
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oo
(Signature of Notary Public-State of Florida,�\oe�oogalipgPl�y6o/ ( ig atune of Notary Public-State of Florida
�,e�• •MAIV/�F°�sfo_ `�et9C119681u�f�f®c�
Personally Known OR Produce tie° r � , � ss�`� Personally Known X OR Produc!#' e"O'O 4q �BE�°-
Type of Identification Produced .�o er `�o•• Type of Identification Produced o,• ppp1531�n;T , 9 '�
,Ober is
Commission No. FF936050 *(deal) ®® : = Commission No. FF936050 = e`�%Eal) Wn
o #FF 936050
• e a o o.; !OFF 936050
Revised 07/15/2014ABC/C,OSTA11-
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS