HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 9 1 y►�
Date: I I, Permit Number: ` ` lJ y C)RECEIVED
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!: wilding Permit Application OCT 0 4 2017
Planning and Development'Services I PERMITTING
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
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PROPOSED IMP ROVEMENT.LOCATION r, ;faa; .
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Address:
6203 EASTWOODIDR; FORfPIERCE
Legal Description LAKEWOOD'PARK-UNIT 10-BILK 122 LOT 16
Property Tax ID#: 1301-612-0096-000-5 Lot No.
Site Plan Name: Block No.
Project Name: SYKES/REROOF
Setbacks Front Back: Right Side: Left Side:
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DETAILED°DESCRIP.TION°O WORK- w ` R
TEAR OFF SHINGLE; RE-NAIL DECK. INSTALL NEW JAY TAYLOR 5V CRIMP METAL PANEL
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK'TIL'E & METAL UNDERLAYMENT.
(5/12 PITCH) l:ALSO REPLACE TWO IMPACT GLASS SKYLIGHTS.
,CONSTRUCTION INFORMATION
itiona work to be Derformea under t is'p'ekit=c6eck all that apply:
E]HVAC Gas Tank ❑Gas Piping 1-1_Shu Qtters Windows/Doors
Electric Plumbing Sprinklers M Generator Roof
Total Sq. Ft of Construction: 3,900 S . Ft.of First Floor:'3,078
Cost of Construction:$ 15,770 Utilities:12Sewer Septic Building Height: 1 STORY
OWNER%LESSEE°.'' CQNTRACTOR:
Name RUSSELL&BARBARA SYKES Name: KYLE WHITE
Address: 6203 EASTWOOD 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. 772-475-6124 Zip Code: 34982 Fax: 772-468-8397
E-Mail: RSYKES52@HOTMAIL.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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
NamIGNER/ENGINEER: 'x_' Not Applicdble I IMOReTGAGE COMPANY: x Not Applicable
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:
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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 le er or an attorney before
commencin rk or/recording your Notice of Commencement.
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_Signature of Owner/Lessee/Agent, Signature of Contractor/License Holder
STATE OF FLORIDA 'STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
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The for oing instr e t as acknowledge fore me The forgoing linstr ent as acknowledged before me
this day of 201/by this a day of 20 r7 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-S ate of Florida) (Signature of Notary Public-State of Florida)
��\191111iilllgod���r �01111111Uie�
Personally Known x OR Produce�� t� � _ Personally Known x OR Produce Igf( f{ifi
Type of Identification Produced 0 . • 5S10°'•.Y'9.: Type of Identification Produced �0�C�Q.• . F�
•y0 ��ber 1S�O o� �•yGber �4�o%. �1
FF 936050 FF 936050 Commission No. ? j���)®•® u,; Commission No. _*:� oS�al)
#FF 936050
Revised 07/15/2014 .....
FJj�6C/C,STATE�����°� . OFF\N,��
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