HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l L • 0 l iQ
auild'ing. Permit Application RECEZVE
Planning and Development Services
Building and Code Regulation Division Nov 0 6 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resi 6kirkilf tir,_ ..
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PERMIT APPLICATION FOR: Roof Count
PROPOSED IMPRQI%EMENT�LOCATION
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.
Address: 5400 OLEANDER AVENUE, FORT PIERCE (GUEST HOUSE)
Legal Description: HUNT'S S/D BLK A LOTS 1, 2 AND 3 - LESS RD, R/W AS IN OR 54-542 - AND W 1/2 OF LOT 4
Property Tax ID #: _
Site Plan Name:
3403-701-0002-000-2
Project Name: MIGGINS/REROOF
Setbacks Front Back: Right Side: Left Side:
b-ETAILED DESCRIPTION OF 1NORKu
Lot No.
Block No.
TEAR OFF SHINGLE AND FLAT, RE -NAIL DECK. INSTALL NEW OWENS CORNING SHINGLE
ROOF SYSTEM OVER 30# FELT 'UNDERLAYMENT (12SQ / 4/12 PITCH). ON FLAT PORTION
INSTALL 3-PLY POLYGLASS (W-138) MODIFIED BITUMEN ROOF SYSTEM (4SQ).
CONSTRUCTION INFORMATION
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Additional work to a er
E]
orme under
this permit — c ec
a
apply:
11HVAC
Gas Tank
Gas Piping
_
Shutters
Q Windows/Doors
11 Electric ❑ Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 1,600
S Ft. of First Floor: 2,578
Cost of Construction: $ 5,800
Utilities:
Sewer El
Septic
Building Height: 1 STORY
OINN ER%LESSEE
�v4
=CONTRAC TOR
Name GARRY & LUCIA MIGGINS
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 5808 BALSAM DR
City: FORT PIERCE State: FIL
Address: 302 MELTON DR
Zip Code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No. 772-359-4406
Zip Code: 34982 Fax: 772-468-8397
E-Mail: GWMIGGINS@YAHOO.COM
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.
SUPPLEMENTAL CbNSTRUCTION
�. ...:
LIEN rLA1N INFORMATION;
�,.� _
DESIGNER/ENGINEER: x- Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip.. Phone:.
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
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 pro erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspe I If you intend to obtain financing, consult with le n r orI attorney before
commencing rding vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent Signature Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF STLUCIE
The forgoing inst was a mowledged before me The forgoing instr m nbwv ackn6wledged before me
this � ent day of 20�by this G day of 20 a by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
(Si nature of Notary ub c- State of Florida) (S' nature of Notary Public- State of Florida) �N�I��II�tfN
�����t°/,,i� ``� E MANRF �iJar
Personally Known x OR Produ \�,ci& �Ro' i'¢6"�— Personally Known x OR Produce jfj��
Type of Identification Produced ��, . sd'�g�PaPur� Type of Identification Produced � •.
�a 050966 JJ# owe 20� N•�
Commission No. FF936050 (Seal).... �- Commission No. FF936050 =* �($e$al)..o *`
#FF 936050
;62 o• o moo•
s ..NOISS\N.,: \� ii 9gf .•-lNolarySo... • cn ��
Revised 07/15/2014291
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