HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5 a5 Permit Number: I1 5 d S rJ$
• RECEIVED MAY 15 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: 311 HOLLY AVENUE, PORT ST LUCIE
Legal Description: RIVER PARK - UNIT 2 - BLK 21 LOT 8
Property Tax ID #:
Site Plan Name:
3419-510-0307-000-3
Project Name: GENTHER/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONuOF WORKrc,
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR 5V CRIMP 24G METAL
PANEL ROOF SYSTEM OVER OWENS CORNING SELF ADHERED UNDERLAYMENT.
(27SQ / 3/12 & 1/12 PITCH)
CONSTRUCTION, INFORMATION
Additional work to be nertormed under this permit— check all apply: r
❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors L
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator Roof
Total Sq. Ft of Construction: 2,700 S Ft. of First Floor: 1,196
Cost of Construction: $ 10,850 UtilitiesliSewer ❑Septic Building Height: 1 STORY
;OWNER/LESSEE'
CONTRACTOR: _
Name WILLIAM GENTHER
Name: KYLE WHITE
Address: 311 HOLLY AVE
Company: J.A. TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL
Address: 302 MELTON DR
Zip Code: 34952 Fax:
City: FORT PIERCE State. FL
Phone No. 772-607-2396
Zip Code: 34982 Fax: 772-468-8397
E-Mail: WHGENT933QGMAIL.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.
DESIGNER/ENGINEER: x , Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
.o
" h
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
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 firs�ciipn. If you intend to obtain financing, consult with le r or an attorney before
commenc' or r cording your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrume was acknowledged before me
this day of 20 L
MP
KYLE WHITE ��e?° �Qd•., °° 9Fs
(Name of person acknowledging) - ti �o°je�ber rs Ate.
#FF 936050
re of Notary Public- State of F
ature of Contractor/License H
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument w s ack owledged before me
this day of 20 7 by
KYLE WHITE
(Name of person acknowledging )
ature of Notary Public- State of Florida )
ZIC
lak
Personally Known x OR Produced IdenfifAq._ Personally Known x OR
Type of Identification Produced Type of Identification Produce
Commission No. FF936050 (Seal) I Commission No. FF936050
Revised 07/15/2014
k o �4Sea1)
e�
0 0 #FF 936050
STASE
s
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS