HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:kii
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RECEIVED
Building. Permit Application i OCT,0 4 2017
Planning and Develop:mentServices PER!dIFrING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION
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Address: 5801 DEER RUN DRIVE, FORT PIEF10E (SHED)
Legal Description: HOLIDAY �'INES S/D- PHASE III -LOT 557
Property Tax ID#: 1313-502-0134-000-3 Lot No.
Site Plan Name: r Block No.
Project Name: iHE/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
'DETAILEDDESCRIPTIONO '!WORKy'
F,
TEAR OFF SHINGLE, RE`NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1"SS
METAL PANEL ROOF SYSTEM OVER'30# FELT UNDERLAYMENT.'(5/12 PITCH)
CONSTRUCTION INFORMATION:
Additional work to e e orme d under this permit—c ec a apply:
E1HVAC Ei Gas Tank ❑Gas Piping _Shutters n Windows/Doors
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11 Electric ❑ Plumbing Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 500 S Ft. of First Floor: 2,401
Cost of Construction: $ 1,750 Utilities:
Sewer Septic Building Height: 1 STORY
OUVNER/LESSEE:'° µ `CONTRACTOR:
Name ZHENLI HE Name: KYLE WHITE
Address: 5801 DEER RUN DR 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. 772-971-5854 Zip Code: 34982 Fax: 772-468-8397
E-Mail: ZHELEE.HEQGMAIL.CM 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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SUPPLEMENTAL CONSTR,UCTIQN LIEN LAW INfi,ORMATION
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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.
Inconsideration 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'plaris,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 i ection. If you intend to obtain financing, consult with lender or an attorney before
commencin k r recording our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Sig ature of Contractor/License Holder
STATE OF FLORIDA ' STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrum t was acknowledged before me The forgoing instrument pas acknowled ed before me
this day of 20by this day of 201:by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
4( ndature of Notary Pu lic-State of Florida (Sigrature of Notary Public-State of Florida)
�`�11 1H11{lity��p`
Personally Known x OR Produra� ti�\{` tMrfi �A&}ts� ��i Personally Known x OR Produced I�i,�q`S`Ms��ICI ���}II�7lpt�4/Bof�p
r • A e • o Type of Identification Produced Z i Type of Identification Produced P
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Commission No. FF936050 &I)o•� _ Commission No. FF936050 _� ter 15
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Revised 07/15/2014 �iiii ii °o\\\ m.,9�A a;Not:H�;
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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