HomeMy WebLinkAboutBuilding Permit Applicationy^ -
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a.5 Permit Number: 1 �a Gzll
RECEIVED
i I . Building Permit Application
Planning and Development Services OCT 2 5 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Perm itt rl e2a rtment
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial K SId@17C1[
t. �.ucle C'
PERMIT APPLICATION FOR: Roof
PROPOS:ED.:IIVIPROVEMENT LOCATION
Address: 6314 MERRY BEE DRIVE, FORT PIERCE
,..,
Legal Description: RIVERDALE YACHT CLUB ESTTES -UNIT 2 BLK 10 LOTS 12 AND 13
Property Tax ID #: 3409=703-0112-000-0 Lot No.
Site Plan Name:, Block No.
Project Name: ROOF/REROOF
Setbacks Front' Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
F
,lp, i^.I
TEAR OFF SHINGLE. RE -NAIL DECK. INSTALL NEW POLYGLASS (W-138) MODIFIED
BITUMEN ROOF SYSTEM. 1(11/2 /12 PITCH);'
CON STRUCTIfJN AINFORMi4TION
H
itiona workto e e orme under
[jHVAC Gas Tank
this permit —check
❑Gas Piping
a
apply:
fil _ Shutters
Q Windows/Doors
FlElectric 0 Plumbing
Sprinklers
[]Generator
Roof
Total Sq. Ft of Construction: 2,300
S Ft. of First Floor: 1,522
Cost of Construction: $ 10,800
Utilities: SewerE:l Septic
Building Height: 1 STORY
OWNER/LESSEE ,.':
CONTRACTOR.
Name PATRICIA ROOP
Name: KYLE WHITE
Address: 6314 MERRY BEE DR
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-519-3555
Zip Code: 34982 Fax: 772-468-8397
E-Mail:
Phone No. 772-466-4040
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)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTR;UCTIO LIE 11*AW INFQRIVI
DESIGNER/ENGINEER: !
x Nqt Aplplicable,
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 issL ance o,f 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; th'e 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 poted on the jobsite
before the first inspe you intend to obtain financing, consult with lend ttorney before
commencing wo co ing your Notice of Commencement. X1
_ Signature of Owner/ Lessee/Agent,
STATE OF FLORIDA'
COUNTY OF STLUCIE
The forping instrument gas acknowledge fore me
this day of - 0 -20 Lby
KYLE WHITE
(Name of person acknowledging )
(Signature of Notary Pdbli2! State of `Ig4da1)rrbp�°
NNDINE M °°°°°J
Personally Known x OR P°�uced�9�Pki�_
Type of Identification ProducecL �y oy�mbersc,•�9
Commission No. FFsssoso
36050 .•'f
Revised 07/15/2014 �d00%,,' sraTE c
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this day of 20 by
KYLE WHITE
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known x OR Produce\��
Type of Identification Produced A� P..••••• . F °
. p i
O b 1S �A'• i
Commission No. FF936050 a��
M
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
i
"'