HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 00- - OA
REbEIVED
Building Permit Application AU6 2 3 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X _
PERMIT APPLICATION FOR: Roof
Address: 9404 POINCIANA COURT, FORT PIERCE
Legal Description: MEADOWOOD UNIT ONE LOT 19
Property Tax ID #: 1334-503-0021-000-6
Site Plan Name:
Project Name: MISH/REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF TILE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1 "SS
METAL PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
UNDERLAYMENT. (6/12 PITCH)
Haaitional worK to De nerrormea u
11HVAC L_j_I Gas Tank
nElectric ❑ Plumbing
Total Sq. Ft of Construction: 4,500
Cost of Construction: $ 23,625.00
rtnis permit —cnecK all apply:
Gas Piping Q _ Shutters Windows/Doors
Sprinklers [i Generator IZI Roof
S Ft. of First Floor: 3,039
Utilities:0Sewer Septic . Building Height: 1 STORY
`®¢IIVNER�/LESSEE:
C®;NiTRAC�T®R:
Name ANTHONY MISH
Name: KYLE WHITE
Address: 9404 POINCIANA CT
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 715-530-1137
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: TONY54747@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC 1325895
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
5upp �Mr=NSA corrrs�-r�ue-r•toN r_r�N =r.�w rN�oa,�t�Tro�:
DESIGNER/ENGINEER: X Not Applicable
Name:
. MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: X Not Applicable
Name:
Address:
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 ed 9p the jobsite
before the first in�pec bn. If you intend to obtain financing, consult with lender o ttor y before
commencing vrArTc odt�ecording your Notice of Commencement.
_ Signore of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The for oing instrum t was ackn wledge before me
this 6 day of 20 Lby
KYLE WHITE
(Name of person acknowledging)
(S(gnature of Notary Public- State of F$Srid ap;jp er is
9•
Personally Known X OR Produf-A kde t fiotAien° N
Type of Identification Produced t #FF936ng0
`%' a
s 9•'�c�ndedthN. s ��
Commission NO. FF936050
lllll 1111111�� �\\\
Revised 07/15/2014
ature of Contractor/License NUMer
STATE OF FLORIDA
COUNTY OF sTLucIE
The forgoing instrument was acl5nowledged before me
this day of 20 L by
KYLE WHITE
(Name of person acknowledging)
(Sigrfature of Notary Pbblic- State of Florida
\\\\\`\NEM�/1t��ii
Personally Known X OR Produce #
Type of Identification Produced
Commission No. FF936050*:(Seal)—•.
- _ #FF 936050
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