HomeMy WebLinkAboutBUILDING PERMIT APPLICATIOBNALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: 1
Building Permit. Application
Planning and Development'Services '
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION.
Address: 13939 INDRIO ROAD, FORT PIERCE (BLDG 1 - MAIN- HOUSE)
Legal Description: 18 34 39 NE 1/4 OF NE 1/4 OF SE 1/4 AND S 38 FT OF SE 1/4 OF SE 1/4 OF NE1/4 AND E 175 FT OF
NW 1/4 OF NE 1/4 OF SE 1/4 AND E 175.FT OF S 38 FT OF SW 1/4 OF SE 1/4' OF NE 1/4 '
Property Tax ID #: 1318-144-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name: BROWN/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF SHINGLE. RE -NAIL DECK. INSTALL NEW JA'TAYLOR ROOFING EDGE-LOC 1 "SS
METAL PANEL ROOF SYSTEM OVER-OWEN CORN ING'WEATHERLOCKTILE & METAL
UNDERLAYMENT. (64SQ / 7/12 & 3/12 PITCH) ALSO REPLACING,TWO SKYLIGHTS.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tis permit - check all
app y:
❑HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
❑ Electric ❑Plumbing ❑Sprinklers ❑ Generator a Roof
Total Sq. Ft of Construction: 6,400 S . Ft. of First Floor: 3,288
Cost of Construction: $ 24,500 Utilities:Sewer ❑Septic Building Height: 1 STORY
OWNERAESSEE:
CONTRACTOR:
Name EDGAR BROWN
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 13939 INDRIO RD
City: FT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 772-201-7453
E-Mail: EALBROWN@SFS.NET
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC 1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL CONSTIRUCTION.LIEN L4,1 I INFORMATION:
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:
City:
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 .*cording your Notice of Commencement. l>/%
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
Signature of Contractor,
STATE OF FLORIDA
COUNTY OF STLUCIE
Holder
The for oing instrument was acknowledged before me The forgoing instrumen was acknowledged before me
this day of ^ ll� �—Q 20 1by this day of U (�� 20 1 1 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
of Notary Public- State of
Personally Known x OR
Type of Identification Produce)
Commission No. FF 936050
Revised 07/15/2014
* :sue
(S�J36050
(S4nature of Notary" Pefblie- State of Florida
Personally Known x OR Produced I
Type of Identification Produced
Commission No. FFsasoso
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