HomeMy WebLinkAboutBuilding Permit ApplicationI
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED,
Dater �� 1 Permit Number:
RECEM—D SEP 18 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 -
PROP05ED IIVIPR01/EMENT LOCATIO :
Address: 460 SUNRISE DRIVE, FORT PIERCE
Legal Description: TROPICAL ACRES BILK C Lp-F'c' f !A a)
PropertyTax ID #. CONFIDENTIAL Lot No.
Site Plan Name: 'F G • d • F3 Block No.
Project Name: WATERS/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAIIED DEASCRIiPTION OF WORK:
TEAR OFF SHINGLE. RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
NDERLAYMENT. (5/12 PTICH)
WON STRUCTION INFORMATION:
Additional work to be neifo-rmed under this permit — CheCK all apply:
11HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: 5,200 S Ft. of First Floor:
18,800 1 STORY
Cost of Construction: $ Utilities: Sewer Septic Building Height:
OWNER%LESSEE:
CONTRACTOR:
Name: KYLE WHITE
Name JOSEPH WATERS
Address: 460 SUNRISE DR
Company: J.A. TAYLOR ROOFING INC
City: FT PIERCE State: FL
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 772-201-5810
Zip Code: 34982 Fax: 772-468-8397
E-Mail: WATERSJ393®AOL.COM
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
Fill in fee simple Title Holder on next page (if different
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.
M121ME 1' . iQ ST
-GTIQN16 LIE LIB '
�FnRM iON:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
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 firs ' p�ction. If you intend to obtain financing, consult with r�r an attorney before
commenci k/c�' recording vour Notice of Commencement. //
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was, ackn qwledgd before me
this --L day of M D 00 by
KYLE WHITE
(Name of person acknowledging)
(Sfgnature of Notary Public- State of Florida )
\\e�N�11111 (1IIr^�Il�l,l,,���/
Personally Known x OR P�i�pld'e]�fgn
Type of Identification Produce 'M1S510N'• •
aGUf �e S?p 9 t
Commission No. FF 936oso _=*
s y_ #FF 936050 _ _
Revised 07/15/2014
of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The for ling instrument was aclfnowledged before'me
this day of A 20 A7� by
KYLE WHITE
(Name of person acknowledging)
(Signature of Notary Public- St to of Florida)
Personally Known x OR
Type of Identification Produces
Commission No. FF936050 =*� $�a�•+ c�o�v,�*
v #FF 936050
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