HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEr I
Date: Permit Number:
Lk,611 EC El .'-D JUL 0 no 2017
Building Permit Application 1
Planning and Development Services .
Building and Code Regulation Division': I
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: 'Roof ' 1
PROPOSED IMPROVEMENT LOCATION:
Address:
7205 ELYSE CIRCLE, PORT ST LUCIE
Legal Description: RIVER'S EDGE BLK C THAT PART OF LOT 7 LYG S OF FOL DESC LI:FROM COMMON FRONT COR LOTS 7 AND 8 RUN NLY
ALG W R/W LI ELYSE CIR 6.65 FT TO POB,TH W TO ST LUCIE RIV AND THAT PART OF LOTS AND 9 LYN N OFFOL'DESC LI:FROM COMMON AND MORE
Property Tax ID#: 3416-801-0028-000-7 Lot No.
Site Plan Name: Block No.
Project Name: KOEHNEN/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
I
EDETAILED DESCRIPTION&WORK:
TEAR OFF TILE. RE-NAIL'DECK. INSTALL NEW ENTEGRA BELLA TILE ROOF SYSTEM OVER
OWENS CORNING WEATHERLOCK TILE& METAL'UNDERLAYMENT (64SQ /6/12 PITCH).
REPLACE FOUR (4) GLASS SKYLIGHTS.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit-check all apply:
11HVAC Gas Tank []Gas Piping Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 6,400 S Ft. of First Floor: 5,872
Cost of Construction:$ 28,860 Utilities:Sewer Septic Building Height: 1 STORY
'OWNER/LESSEE: CONTRACTOR:
Name HARVEY KOEHNEN Name: KYLE WHITE
Address: 7205 ELYSE CIR Company: J.A.TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL Address: 302 MELTON DR
Zip Code: 34952 Fax: City: FORT PIERCE State:FL
Phone No. 772-677-8653 Zip Code: 34982 Fax: 772-468-8397
E-Mail:hkoehnen@tcbeweb.com Phone No. 772-466-4040
Fill.in fee simple Title Holder on next page(if different E-Mail: NADINE@JATAYLORROOFlNG.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.
i
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: I ii Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name: ' I '
Address: Address:
City: cty:
Zip: Phone: Zip: Phone:
it
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 ins I . If you intend to obtain financing, consult wi er or an attorney before
commencing or ording your Notice of Commencement.
s
_Sign ure of Owner/Lessee/Agent Signatirre of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for ing instrun ent s acknowledged before me The forgoing instrumknt wf s acknowledged before me
this day of 20 �y this� day of L 201 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
(Si ature of Notary P bli -State of Florida) (Sign ure of Notary Public-nate of Florida)
Personally Known x OR Produ\ 9Ntll11111111 rbby��_ Personally Known X OR Produce ` !Ill ��ei
Type of Identification Produced ��` P�.••"••••.Sq 4i Type of Identification Produced ��` Q`.••i6slg y
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Commission No. FF sasoso deal) `��9u,; Commission No. FF sasoso = zal) 2o�9u. s
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE 1
INITIALS