HomeMy WebLinkAboutBuilding Permit Application J
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 511 Permit Number:
RECElV7-D MANY 0 9-2017
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 IMPROVEMENT LOCATION`,
Address: 18801 OKEECHOBEE RD, FORT PIERCE
Legal Description: 3/10 36 38 E 1/2 OF W 1/2 OF NE 1/4 OF NE 1/4 OF SEC 10 AND E 1/2 OF W 1/2 OF SE 1/4 OF SE
1/4 OF SEC 3 LYG S OF OKEE RD LES CANAL R/W
Property Tax ID#: 3210-112-0001-000-5 Lot No.
Site Plan Name: Block No.
Project Name: HARDIE/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
.'DETAILED DES,CRIPTION OF WORK
TEAR OFF SHINGLE, RE-NAIL DECK. INSTALL NEW METAL SALES CLASSIC RIB PANEL
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL UNDERLAYMENT.
(18SQ/5/12 PITCH)
,
CONSTRUCTION INFORIVIATION.
Additional work to be nertormed under this permit—check all apply:
E1HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
DElectric ❑ Plumbing Sprinklers Il Generator Roof
Total Sq. Ft of Construction: 1800 Sq. Ft.of First Floor: 1200
Cost of Construction: $ 6,680 Utilities: 0Sewer Septic Building Height: 1 STORY
`0WNER/LES5EE:_, "CO,NTRACTOR:
Name LAURANCE HARDIE Name: KYLE WHITE
Address: 18801 OKEECHOBEE RD Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FIL Address: 302 MELTON DR
Zip Code: 34945 Fax: City: FORT PIERCE State:FL
Phone No. 772-201-4374 Zip Code: 34982 Fax: 772-468-8397
E-Mail: LARRY@ BARN ESCITRUS.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:f'
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 with r or an attorney before
commencing-woTR'Torl(ecording your Notice of Commencement.
s
Ignature of Owner Lessee/Agent Sig ature of Con actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instruinept was acknowledged before me The forgoing instrument as knowledged before me
this day of 20 (7by this,5—day of 20 f7by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
, e
(Si ature of Notary Publ c-State of Flo[ la' (� `F�9�;v,, ( ign ure of otary Public-State f Florida�'9`
e Q� N°•°°9 %` o° 51 4/`°S9 duo
Personally Known x OR Prod u�ec t��h I IO c�ttcllry N Personally Known x OR Produced Id s'ti�� ��tc
Type of Identification Produced Type of Identification Produced
_ :tea e _ .•ate � a,�.d
Commission No. FF93605o o* ; (Se �x` y36050 o Qa Commission No. FF936050
36050 ° Qq
,B✓y�lnde.�sA
iilii ao ��x'��. .�,��;��BB! lS " ��`°`�
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS