HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application i
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: 11100 HEIL ROAD, FORT PIERCE
Legal Description: FORT PIERCE GARDENS OF 21-35-39 BLK B LOT 8- LESS E 151.98 FT AND LES RD R/W
Property Tax ID#: 2321-501-0020-010-9 Lot No.
Site Plan Name: Block No.
Project Name: RUDOFF/RE-ROOF
Setbacks Front Back: Right Side: Left Side:.
DETAILED DESCRIPTIOiV'OF'WORK:" ,{
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL NEW'JA TAYLOR EDGE-LOC 1"SS METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
UNDERLAYMENT. (65 SQ/6/12 PITCH)
CONSTRUCTION INFORMATION:
Additional work to be Dertormed under this permit—check all apply:
FHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 6,600 S . Ft.of First Floor: 3,170
Cost of Construction: $ 26,625 Utilities: Sewer O Septic Building Height. 2 STORY
OWNER/LESSEE: CONTRACTOR: °
Name WILLIAM&HOLLY RUDOFF Name: KYLE WHITE
Address: 11100 HEIL RD Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State: FL Address: 302 MELTON DR
Zip Code: 34945 Fax: City: FORT PIERCE State:FL
Phone No.772-595-8438 Zip Code: 34982 Fax: 772-468-8397
E-Mail:UGMUGS@GMAIL.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':
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
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 b�recorded osted on the jobsite
before the f' n If you intend to obtain financing, consult attorney before
commenog w rec din our Notice of Commencement.
s
_Signature of Owner Lessee/Agent Signature of Contrac r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
i
The for ing instrume t was a nowledged before me The forgoing instrumen was ac nowledged before me
this day of 20 aby this ay of 20 1:1 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
(Si ature of Notary u ic-State of Florida) (Si nature o No f tary Public-State of Florida )
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Personally Known X OR Produce ,g\,' '�ifM6m6�a°�'jy, PersonallyKnown x OR Produced Ide , I p9,aE
Type of Identification Produced m��P•�'asS10N cr•• s Type of Identification Produced
•vp��be[152�9�a a��t�SS•/y� °•
Commission No. FF 936050 v 0� Commission No. FF 936050 141�Uef
Revised 07/15/2014 `Of�s9fpUetic�sca�e� � T� a`asltJof ryS oF��°
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS