HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLV INFO MhSJ BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ 1 I Perm6
it Number:
1
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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
PROPOSED IMPR;OVEIVIENT LOCATION: `
Address: 8138!SARAT06A'WAY, PORT ST LUCIE
SABAL CREEK- PHASE II - LOT 85
Legal Description: •
Property Tax ID#: 3321-502-0034-000-3 Lot No.
Site Plan Name: Block No.
Project Name: MELTONIREROOF
Setbacks Front Back: Right Side: I I Left Side:
DETAILED DES°CRIPTIO.N OF.WORK. • '-..
TEAR OFF TILE,'RE-NAIL DECK ANSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1"SS
METAL PANEL ROOF,SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
UNDERLAYMENT. (6/12 PITCH)
CO.NST.RUCTION INFORMATION. '.
it
ional work to be performed under t isp�ermit—check all appy:
,HVAC Gas Tank Gas Piping _Shutters Windows Doors
❑ P g ❑ /
Electric 0 Plumbing Sprinklers ❑Generator W1 Roof
Total Sq. Ft of Construction: 6,500 Sq. Ft. of First Floor: 2,962
Cost of Construction:$ 27,750 Utilities: 0 Sewer Septic Building Height: 1 STORY
OWNER%LESSEE 'CONTRACTOR:
Name BRYANT&LAURA MELTON Name: KYLE WHITE
Address: 8138 SARATOGA WAY Company: J.A.TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL Address: 302 MELTON DR j
Zip Code: 34986 Fax: City: FORT PIERCE State: FL
Phone No. 772-201-3655 Zip Code: 34982 Fax: 772-468-8397 j
E-Mail: BMELTON@SOUTHSHORECOM.CC 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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SltPPLEMENTi4LsCONSTR -I , LIEN tAW{tNFORMATIQN
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DESIGNER/ENGINEER: X;Not Applicable '4 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: ' ''Nalme:
Address: Address:
City: I rCity:
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.you erty.A Notice of Commencement'must be recorded and posted on the jobsite '
before the first ' ction you intend to obtain financing, consult wit an attorney before
comm rk or re in our Notice of Commencement.
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_Signature of Owner/Lessee/Agent, Signature of Co tractor/License Holder 1
STATE OF FLORIDA STATE'OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
i •
The for oing instrument was knowledged before me The forgoing instrument was ackilowledged before me
this 4day of 20 aby this 4 day of 4— 20 by
KYLE WHITE KYLE WHITE
(Name of person ackno ledging) (Name of person acknowledging)
Si ature of Notary Pu lic-State of Flori a) ig ture o Notary Public-State of Florida)
Personally Known x OR Produced IdentUjir lia"W^,' Personally Known x OR Produy
Type of Identification Produced ,1, MNR,e�1/iyTr / Type of Identification Produced ��� P•.•••••'•.,S9�i
.• .SSION— � ��i VO ber is
Commission No. FFs3soso ea o��bBT15, °i% Commission No. FF93soso = o ealf o,;u,•:
�. NEE 926050
e
#FF 936050 : .
Revised 07/15/2014 �o�'•� eo„ �hN. 5 %Q
1C•STNI..%
REVIEWS FRONT ZONING 9@09WOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER 'REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMP LETE
INITIALS
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