HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE, INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I I Permit Number: 119
Building Perm itAppiication MAY 0 4 2@1
Planning and Development Services PERMI i fig 1G
Building and Code Regulation Division
St. Lucie bounty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof p,J1e�q
PROPOSED IMPROVEMENT LOCATION:
Address: 372 KAYE STREET, FORT PIERCE
Legal Description: 12 35 39 FROM NW COR OF SE 1/4 OF NE 1/4 OF SE 1/4 RUN E 141.8 FT,TH S 275 FT FOR POB,
THE101.9 FT,THS100 FT,THW101.9 FT,THN100FTTOPOB-LESS W10FTASIN
Property Tax ID#: 2312-414-0020-000-1 Lot No.
Site Plan Name: Block No.
Project Name: YORK/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION"OF:INORK, '
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDG-LOC 1"SS
METAL PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
UNDERLAYMENT. (22SQ /3/12 PITCH)
CONSTRUCTION INFORMATION:
Additional work to (e performedunder t is permit—checka apply:
11HVAC L_I Gas Tank Gas Piping _Shutters Windows Doors
❑ p g ❑ /
❑Electric ❑ Plumbing Sprinklers ❑Generator W1 Roof
Total Sq. Ft of Construction: 2,200 S Ft.of First Floor: 1,518
Cost of Construction: $ 9,020 Utilities:nSewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name TOMMY YORK Name: KYLE WHITE
Address: 3120 MARAVILLA BLVD Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34982 Fax: City: FORT PIERCE State: FL
Phone No. 772-985-7835 Zip Code: 34982 Fax: 772-468-8397
E-Mail: Phone No. 772-466-4040
Fill in fee simple Title Holder on next page(if different E-Mail: NADINE@JATA?LORROOFING.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.
SOPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION:
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 recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult wit r o an attorney before
commen ' o k or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signatu a of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The f rgoing instrun-LenttwasaEknowledged before me The forgoing instrument w s ack owledged before me
this day of 20 aby this , day of 20 L by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
0
(Signature of Notary Public-State of Florida (Si nature of Notary Public State of Florida ,y��v�eiiili►aaaad
� a`\`N �MIANR°'�eie,,`l ���1a' p\N PrIAIyRFiSvr°�i
Personally Known x OR Prods �'c�ld paJ1Q os Personally Known x OR ProduceclJeenzj�'if a6hSr�n
Type of Identification Produced °��, F>`o°° Type of Identification Produced e,o° Ober 1S ° o �
Commission No. FF936050 s �Sea�)® N e*= Commission No. FF936050 ±*(�eal)) ®B® a*9
#FF936050 e Q� r o o° #FF936050 o Qzl
Revised 07/15/2014 i ,laaosllm '�eaair 9g'°O
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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DATE
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