HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application RECEIVE
Planning and Development Services
Building and Code Regulation Division NOV 06 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resid r
tt:'n 9 De art ant
PERMIT APPLICATION FOR: Roof Ucie County, I
,PROPOSED IMPROVEMENT LOCATION '.,"
Address: 1950 CORTEZ BLVD, FORT PIERCE, FL
Legal Description: CORTEZ ESTATES UNIT NO 1 BLK B LOT 3
Property Tax ID #: 2421-607-0014-000-3 Lot No. 3
Site Plan Name: Block No. B
Project Name: GOLDBERG RE -ROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DbSCRIPTION,OF WORK:'-,-,
TEAR-OFF SHINGE. RE -NAIL DECK. INSTALL NEW METAL SALES 5V METAL ROOF SYSTEM
OVER OWENS CORNING TILE AND METAL UNDERLAYMENT. (1-1/2 /12 )
NSTRUCTIOU INFORMATION,".
Additional work to be nertormed underthispermit check
all
apply:
11HVAC
EiGas
Tank
❑ Gas Piping
Shutters
❑ Windows/Doors
11 Electric 0 Plumbing
❑Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 2800
Sq. Ft. of First Floor: 1342
Cost of Construction: $ 11200
Utilities:
0Sewer
OSeptic
Building Height: 1 STY
bWNER%LESSEE.
CONTRACTOR
Name L--�D I d- b&rq
Name: KYLE WHITE
Address: I qSV (�br [e Z glv4�
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DR
City: ft-fley-e_e State: FL
Zip Code: 0 'M S2— Fax:
City: FORT PIERCE State. FL
Phone No. -2 20
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 CONSTRUCTION LIEN LAW INEORMATION>
...o
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
BONDING COMPANY: x Not Applicable
Name:
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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencirk work or recording vour Notice of Commencement. A
_ Signature ofOwAer/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument wa acknowledged before me
this- day of 2tri CW-_ 20 aby
KYLE WH179 -1
(Name fif person acknowledging)
of Notafy Pu ' - tote of Florida )
ntractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instruff ent was acknowledged before me
this 2 day of 1VUe1--n t . 201'4—by
KYLE WHITE
(Na a of person acknowled 'ng,)
(Qfgnature of Wotary Publi t e of Florida )
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 00063270 p'Pv�.(Sea IVALERIEJDELGADO Commission No. 00063270 rP�k (WAEJDELGADO
i t MY COMMISSION # GG 06327 * i r MY COMMISSION # GG Q6 M
Revised 07/15/2014
as av'Q Bwled'Rw Budget Notary s
Bonded Tin Budget Notary Semm
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