HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
_._ .,.�.
' RECEIVED
Building Permit Application
Planning and Development Services
Building and Code Regulation Division xi V 0 6 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re i@ jtOn�artmen
PERMIT APPLICATION FOR: Roof County,
_ PROPOSED` IMPROVE'ME'NT.,LOCATIONy :
Address: 5270 INLET WAY, FORT PIERCE, FL
Legal Description: OCEAN RESORTS COOPERATIVE SITE 142
Property Tax ID #: 1410-502-0142-000-0 Lot No.
Site Plan Name: Block No.
Project Name: MC KAMEY RE -ROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
TEAR OFF SHINGLE ROOF. RE -NAIL DECK. INSTALL NEW JA TAYLOR 5V METAL ROOF
SYSTEM OVER _30# FELT UNDERLAYMENT. (3/12 )
CONSTRUCTIaON INFORMATION
Additional work to ne orme under this permit - check a apply:
je
L 11HVAC _J Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 600 S Ft. of First Floor: 836
Cost of Construction: $ 5860 UtilitiesInSewer Septic Building Height: 1 STY
OWNER/LESSEE; `°
CONTRACTOR:`
Name!
Name: KYLEWHITE
Address:, SZ%b 6,) kZ&i
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DR
City: FORT PIERCE tate: FL
City: FORT PIERCE State: FL
Zip Code: 349 _— Fax:
Phone No.772.466.4040
Zip Code: 34982 Fax: 772-468-8397
E-Mail: NADINE@JATAYLORROOFING.COM
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC 1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAUD I,N`FORMA'fl _
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 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
commencing work or recording vour Notice of Commencement. t,
_ Sikhature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The fo going instrumient was acknowledged before me
this ay of 20 Eby
KYLE WHITE
(Name o person acknowledging)
(Sign re of Not ry Pub 'c- tate of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
of Contractor/License H
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this Z—day of ND\/ 20 by
KYLE WHITE
(Name o person acknowledging)
4LtP�
(SigiWture of No ary Public- ate of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. 00063270 (Seal) Commission No. cco63270 (Seal)
=o'�Ay P/e",n VALERIE J DELGADO �o1►A ;aue�,c VALERIE J DELGADO
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"� Q EXPIRES: May 14 2021 N� c� EXPIRES: May 14, 2D21
Revised 07/ 15/2014 'r- F���\o Bonded Thru Budget Notary Servicos 9TFOF I' Bonded Thru Budget Notary Services
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