HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:LULL 1
� ... T.' :DEC 0. � 2 r a
Building Permit Application
PERi'4117
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Planning and Development Services
St. Lucie C
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;1MPgOVEMENT LQCATION:
Address: 8402 FORT PIERCE BLVD, FORT PIERCE
Legal Description: LAKEWOOD PARK - UNIT 8 - BLK 93 LOT 4
Property Tax ID #: 1301-608-0134-000-1 Lot No.
Site Plan Name: Block No.
Project Name: THOMASON/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED ;DESCRIPTIONe'OF WORK __; 3
TEAR OFF SHINGLE, RE —NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
UNDERLAYMENT (5/12 PITCH)
CO"NSTRUCTIO'N;INFORMATION
Additional work to e e orme under this permit— check a apply':
11HVAC E] Gas Tank ❑Gas Piping In _ Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 2,000
Cost of Construction: $ 7,100
S�Ft.j of First Floor: 1,377
Utilities: nSewer Septic Building Height: 1 STORY
OWNERAESSEE':
CONTItACTOR;:
Name SHASTA THOMASON
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 8402 FORT PIERCE BLVD
City: FT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-332-5567
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: HUFF2004@BELLSOUTH.NET
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 $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
City:
Address:
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 recor nd p ed on the jobsite
before the first iq,n. If tend to obtain financing, consult wit er or torney before
commenci or re s vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The f^oroing instrument was cknowledged before me
this cd--I. day of 20 Eby
KYLE WHITE
(Name of person acknowledging)
ature of Notary Public -'State of
Contractor/License H
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instru was acknowledged before me
this '4 day of t 20 jJ by
KYLE WHITE
(Name of person acknowledging)
(Signalure of Notary Public- State of Florida )
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ly
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Personally Known x OR Pro&c .I a$ifta6 n- ,.
Personally Known x OR Produced Ide�i
Type of Identification Produced .o mbar 15T °ig ;
Type of Identification Produced
Commission No. FF936050 (Se�lp
Commission No. FF936050
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#FF 936050 :�aQ;
s o • go a�o�, y : Q
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REVIEWS
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
REVIEW
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DATE
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COMPLETE
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INITIALS
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