HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1�\1� Permit Number:(X(O'V923
RECEIVE®
Building Permit Applicat on OCT 2 5 2017
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 t . U ie C,p u nty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof'_rha b�
PROPOSED LMPROVEMENT LOCATION:
Address: 5024 SUNSET BLVD, FORT PIERCE
Legal Description: INDIAN RIVER ESTATES -UNIT 07 - BLK 47 LOT 26
Property Tax ID #: 3402-608-0256-000-8 Lot No.
Site Plan Name: Block No.
Project Name: McDAVID/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAULED DE�SCR+IPTI V,N OF WORK:
TEAR OFF SHINGLE AND FLAT SECTION. RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING
5V CRIMP METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT ON PITCHED
PORTION (40SQ / 5/12 PITCH). ON FLAT INSTALL POLYGLASS MODIFIED BITUMEN (6SQ).
CONSTRUCTION INFORMATION:
Additional work to e e orme under tispermit—checka apply:
EIHVAC E] Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 4,600 S Ft. of First Floor: 2,824
Cost of Construction: $ 26,980. Utilities:Cn Sewer 0 Septic Building Height: 1 STORY
OWN`ER/LE}SSEII
�1�11 _ _ 33®reo oor®
CONTRACTOR:
Name ELIZABETH McDAVID
Name: KYLE WHITE
Address: 5024 SUNSET BLVD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FIL
Address: 302 MELTON DR
City: FORT PIERCE State. FL
Zip Code: 34982 Fax:
Phone No. 772-979-4217
Zip Code: 34982 Fax: 772-468-8397
E-Mail:
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
Fill in fee simple Title Holder on next page (if different
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.
DESIGNER/ENGINEER: x - Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
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 recorded and posted on the jobsite
before the first ins . Ij rou intend to obtain financing, consult with lender or an ttorney before
commenci or recor nR your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The for oing instrum t w ac �nowledged before me
this day of 20 1Zby
Signature of Co ractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrurugnt vlas knowledged before me
thisa3day of 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
(Si nature of Notary Public- Sta a of Florida) (Sig ture of Notary Public- St fe of FI�� . `��jE NIAIVRFS�4��i
ION
Personally Known x OR Produced 1�4 IMF, �941byy Personally Known x OR Pro dr ed. t yftc�tI %
Type of Identification Produced ���, Type of Identification Produced a °
Commission No. FF936050 0r 1$���., Commission No. FF936050
80ededlbN'
e2'• #FF936050
Revised 07/15/2014 %°�`'•.Bo �ndaath�'t��� oQ:
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