HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE,COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:, 41 QA \ Pprmit Number: k104b' 6G33
RECEIVED AU6,2 9 2017
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: 2637 CONIFER DRIVE, FORT PIERCE
Legal Description:
MONTE CARLO COUNTRY CLUB - UNIT TWO LOT'205 ;
Property Tax ID #: 1334-5b2-0086-000-6 Lot No.
Site Plan Name: I „ Block No.
Project Name: YAMPIERRE/REROOF
Setbacks Front Back: Right Side: 1 Left Side:
DETAILED`DESCRIPTION OF WORK
TEAR OFF TILE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1 "SS
METAL PANEL ROOF SYSTEM OVER. OWENS CORNING SELF -ADHERED UNDERLAYMENT.
(8/12 PITCH)
CONSTRUCTION INFORMATION '
Additional work to a er orme under this permit— check all apply:
EIHVAC Ei Gas Tank Gas Piping _ Shutters Q Windows/Doors
11 Electric El Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 6,900 S Ft. of First Floor: 5,369
Cost of Construction: $. 35,500 Utilities:n Sewer Septic Building Height: 1 STORY
'OWNER/LESSEE:" : ' , n" ` ° `°�
CONTRAC,TOR:.
Name RORY WALSH & ANNE YAMPIERRE
Name: KYLE WHITE
Address: 2637 CONIFER DR
Company: J.A. TAYLOR ROOFING INC
City: FT PIERCE State: FL
Address: 302 MELTON DR
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 912-429-9100
Zip Code: 34982 Fax: 772-468-8397
E-Mail: TOHMALONE®YAHOO.COM
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 $2500 or more, a RECORDED Notice of Commencement is required.
SU,PPL'EMEN7AL�CQNSTR"UCTIOf� LIENA11V INFORMAT�ON`.k,
. •&�
DESIGNER/ENGINEER: x
Not Applicable
:
MORTrGAGE COMPANY:
x Not Applicable
Name:
I
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
:;BONDING COMPANY:
x Not Applicable
Name:
.Na'me:
Address:
Address:
Cit y:
y. .
city
Zip: Phone:
Zip: Phone:
I certify that no -work or installation has commenced prior to the issuance of a, permit.
i
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this reque$ted permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approvbd'plans, the Florida Building Codes and'St. Lucie Couhty'Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:Iroom 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 yogg paying twice for
improvements toqeoperty. A Notice of Commencement'Must' be recorded an on the jobsite
before the first ' n. If you intend to obtain financing, consult with lender a ney before
commen ' orkording your Notice of Commencement.
_ Signature of Owner/, Lessee/Agent I . . Signature of CSntTactss/License Holder
STATE OF FLORIDA STATE OF FLORIDA'
COUNTY OF STLUCIE COUNTY OF STLUCIE
I
The forPPr�g instrum t was ack owledg efore me The forgoing Instrume was ackn"ledge before me
this �— day of f 201_Lby thiso day of 1 20 L7 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida )
\ 1111111111►111/1Z
Personally Known x OR Pro du��YCtiifl��°°{r
Type of Identification Produced ��� �P••''• ••, NY
GO �Oer 1S, Oi'•
Commission No. FF 936050 al)
Revised 07/15/2014
:1
(Signature 67 Notary Public- State of Florida )
\\\111111111111/p�
Personally Known x OR Produ�Wl�($tfi��
Type of Identification Produced 0
_� G ber �{
Commission No. FF936050 �*: Seal) 0,
co Cn
o :• #FF 936050 _
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