HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: �°1 Permit Number:
,n- RECEIVED AUG 2 0 20��
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: 1
Address: 10725 S OCEAN DRIVE LOT 466, JENSEN BEACH
Legal Description: HOLIDAY OUT AT ST LUCIE - SEC B - BLK O - LOT 12 AND EQUAL PRO-RATA INTEREST IN
COMMON ELEMENTS
Property Tax ID #: 4511-502-0082-000-0
Site Plan Name:
Project Name: MULLALY/REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN ALUMINUM EDGE-LOC 1"SS
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
UNDERLAYMENT. (2/12 PITCH)
Additional work to be nertormea
FHVAC Gas Tank
11 Electric ❑ Plumbing
Total Sq. Ft of Construction: 1,200
Cost of Construction: $ 10,200
under this permit — check all apply:
Gas Piping _ Shutters ❑ Windows/Doors
11 Sprinklers Generator W1 Roof
S Ft. of First Floor: 1,478
Utilities:CnSewer Septic Building Height: 1 STORY
OWN!ERWHR J O EE:
Name MABEL MULLALY
CONTRACTOR:
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 10725 S OCEAN DR LOT 466
City: JENSEN BEACH State: FL.
Zip Code: 34957 Fax:
Phone No. 772-229-8830
E-Mail: RMM2329@YAHOO.C6M
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 requires.
SUPPLEMENTAL Ct7NSTR+tJCi1®N LIEN LAW iN"-ORMAi10lV
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:
BONDING COMPANY: x Not Applicable
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 perty. A Notice of Commencement must be recorded and posted on the jobsite
before the first in on. If you intend to obtain financing, consult with ..eTZr an attorney before
commencin r or Fording your Notice of Commencement.
_ Sigrrature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The for ng instru t was acknowledged before me
thisday of_ U 'j— 20)�J—by
KYLE WHITE
(Name of person acknowledging)
(Vgnature of Notary Public- State of Florida )
\\0\11111II till11
Personally Known x OR Prodebei
Type of Identification Produced�SSION;,���
VO e�bar
O�
Commission No. FF 936050 _ Seal)
!* 4W0
#FF 936050
Revised 07/15/2014
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The for o"ng instrumepywas ackn wledged before me
this day of 20 L7 by
KYLE WHITE
(Name of person acknowledging )
of Notary Public- State of
Personally Known x OR P
Type of Identification Produced_
Commission No. FF 936050
;y#F 936050 Q __
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