HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: ID I 1 L0/37
r... . . ............. . ... ..... ........ .e..w. RECEIVED
Building Permit Application
Planning and Development Services NOV 0 6 20.17
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL34982 Pe@rm.It Igg Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R Sl fftI FL
PERMIT APPLICATION FOR: Roof �jjC[�
Address: 3605 S INDIAN RIVER DRIVE, FORT PIERCE, FL
Legal Description: 26 35 40 S 157 FT OF N 877.5 FT OF NE 1/4 OF SW 1/4 AND S 157 FT OF N 877. 5 FT OF
GOV LOT 4-LESS N 70 FT OF E 349 FT
Property Tax ID #: 2426-313-0001-000-2
Site Plan Name:
Project Name: WILKES RE -ROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.4
Block No.
TEAR OFF SHINGE AND FLAT MODIFIED. RE -NAIL DECK. INSTALL NEW JA TAYLOR EDGE
LOC 1" METAL ROOF SYSTEM OVER OWENS CORNING TILE AND METAL UNDERLAYMENT.
(3 / 12 ) INSTALL TAPERED INSULATION AND 3 PLY POLYGLASS MODIFIED FLAT ROOF
SYSTEM
CONSTRUCTION If�FORMATION
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Additional work to be nertormed under
this permit— check
a apply:
11HVAC Gas Tank
Gas Piping
Shutters
Q Windows/Doors
11 Electric 0 Plumbing
Sprinklers
_
Generator
Roof
Total Sq. Ft of Construction: 6100
S Ft. of First Floor: 2060
Cost of Construction: $ 22910
Utilities:cn Sewer OSeptic
Building Height: 1 STY
A �. Y t a � a d as
01NNER/L`ESSEE F >�
YFr m��w »•a A4 c r ,,�
CONTRACTOF� ry r
Name �-S
Name: KYLE WHITE
Address: RaOO 5— 5
Ve-1- %J,i
Company: J.A. TAYLOR ROOFING INC
City: Ft— P) f2 Lu
State: FL
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: Sq q b 2' Fax:
Phone No. 7 , k2 8, Id- S-�5
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: NADI N E@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.
r
GNER/ENGINEER: x Not Applica
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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.
�Jj 1 yj4 (eJ4'�_4 s
_ Si ature of Owner/ Lessee/Agent ' na re of Contra ftor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was cknowledged before me
this � day of b 20 hby
KYLE II E J
Na a of person acknowledging
re of Notary Pblaki 'State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. 00063270
Revised 07/15/2014
(Seal)
o.eAy?u"� VALERIE J DELGADO
EXPIRES: May 14, 2021
Bonded Tlau Budget Notary Services
The forgoing instrument wall acknowledged before me
this 2— day of kl()JerY-) 6'e no20 / 1--by
KYLE WHITE
(Name of person ackn le ing )
(Signature of Notary lic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG063270 (Seal)
0' PU,9e. VALERIE J DELGADO
o MY COMMISSION # GG 0=0
N.. ce EXPIRES: May 14.2021
�rOOF 0. Bonded Thru Budget Notary SWAM
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