HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �—aA Permit N mber:_11
0X-614.111 ®R 111111_Y�
RECEIVED
Building Permit Application OCT 2 5 2017
Planning and Development Services
Building and Code 12eg'ulationDivision Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 t.. U COU ntyr FL
(772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof —InnQAq�
—r
PRO POSED] MPROVEMENT LOCATION:
Address: 4076 JOHNSTON ROAD, FORT PIERCE - PORCH
Legal Description: 22 34 39 FROM SE COR OF NW 1/4 OF NE 1/4 RUN N 89 DEG 18 MIN 58SEC W 40 FT, TH N 00 DEG 52 MIN 02 SEC E 25FT TO
N R/W JOHNSTON RD AND POB, TH N 89 DEG 18 MIN 58 SEC W 60 FT, TH N 00 DEG 51 MIN 15 SEC E 824.79 FT, TH N 89 DEG 18 MIN 58 SEC 2 416 FT, AND MORE
Property Tax ID #: 1322-121 -0001 -000-1
Site Plan Name:
Project Name: KING/REROOF PORCH
Setbacks Front Back:
Right Side: I ' Left Side:
Lot No._
Block No.
DETAILED.DESCRIPTION OF WORK
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHEFILOCK TILE & METAL
UNDERLAYMENT (4/12 PITCH).
CONSTRUCTION INFORMATION
Additional work toe nerformed under this permit — check a apply:
j
E]HVAC I _1 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
Electric Plumbing OSprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 200 S Ft. of First Floor: 5,901
Cost of Construction: $ 750.00 Utilities:nSewer OSeptic Building Height: 1 STORY
OWNER/LESSEE
CONTRACTOR
Name EUGENE & MAGGIE KING
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 4076 JOHNSTON RD
Address: 302 MELTON DR
City: FORT PIERCE State: FL
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-579-8243
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: MKING4949@HOTMAIL.COM
Fill in fee simple Title Holder on next page ( if different
E-Mail: NADINE@JATAYLORROOFING.COM
from the Owner listed above)
State or County License: CCC 1325895
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,SUPPLEMENTAL -CONSTRUCTION LIEN,L"A1N INFOWATION:
,
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 Counter 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'mOst be recorded and posted on the jobsite
before the first inspection. If,yyou intend to obtain financing, consult with I gr an attorney before
commencine � workrecor fiR vour Notice of Commencement. �//
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The f9r going instru ent as knowledged before me
this oOday of Q2 20 L-1by
Signature oTtmllractor
STATE OF FLORIDA
COUNTY OF STLUCIE
rise
The forgoing instru nt as a knowledged before me
this o�day of n 20 JJby
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging )
of Notary Public- State of Florida )
Personally Known x
Type of Identification
Commission No. FF s3soso
Revised 07/15/2014
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iced . aPV ;;eCinel _ . Ai_
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V(Yfiber 15,? 9••
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In•n7A
(SVaTu a of Notary Public- State of Florida )
Personally Known x OR Produced\o 1j(lbj_
Type of Identification Produced ...... A Jy.
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Commission No. FF 936050 * : ' o�r is � •'o
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