HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO RE ACCEPTED
Date:
Permit Number: 191 a,' 01 o
i V E D
Building Permit Application DEC 0 52017
Planning and Development Services
Building and Code Regulation Division
p�RiVIITTINC
2300 Virginia Avenue, Fort Pierce FL 34982 uc5i� County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residen�t la�l —
PERMIT APPLICATION FOR: Roof i
Address: 5605 PALEO PINES CIRCLE, FORT PIERCE
Legal Description: HOLIDAY PINES S/D - PHASE I - LOT 12
Property Tax ID #: 1312-500-0013-000-0
Site Plan Name:
Project Name: GABLE/REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC
METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT (6/12 PITCH). ALSO,
REPLACE SKYLIGHT.
CONSTRUCTION IIVF®RNIATION' w , . n
Additional work to r be eorme un er t is permit— check a apply: r
E1HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors L
11 Electric 0 Plumbing Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 3,700 S Ft. of First Floor: 3,813
Cost of Construction: $ 18,150 Utilities:cnSewer OSeptic Building Height: 1 STORY
OYIVN
ESS'EE
CONTRACTOR
Name ANTHONY & LEE ANN GABLE
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DR
Address: 5605 PALEO PINES CIR
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 678-588-5738
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: GABLE628@BELLSOUTH.NET
Fill in fee simple Title Holder on next page (
if different
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC 1325895
from the Owner listed above)
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPl.EN1ENTAl, CONSTRUCTION 1.lEN LAW
IN,F�QMATIQN
..
��
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 p perty. A Notice of Commencement must be recorded and posted on the jobsite
before the first i �. If you intend to obtain financing, consult with lende torney before
commenci ork o re ordinR vour Notice of Commencement.
_ Sighatlfof Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instr m n wa. acknowledged before me
this day of 20 1�by
KYLE WHITE
(Name of person acknowledging)
re of Notary Public -
Personally Known x OR P
Type of Identification Produced..
Commission No. FF936050
Revised 07/15/2014
re Oi L=actor/License
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgping instru nt was acknowledged before me
this ' day of 20 a by
KYLE WHITE
(Name of person acknowledging)
(Sigfiature of Notary Public- State of FloridaANR
)
\`\\��1vN111IIIalI/�j��e
Personally Known x OR Produced \ NON.E
Type of Identification Produced J \SSION
® �
F C3 berl3
��
Commission No. FF936050 s W 'D
#FF 936050 o
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ZONING
SUPERVISOR
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