HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
111 , �., .,
Building Permit Application DECPlanning and Development Services E20V
Building and Code Regulation Division PERMIT I mIG
2300 Virginia Avenue, Fort Pierce FL 34982 u e County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resident
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION bk ~
iN
�4,s
Address: 5698 S US HWY 1 (BUILDING 2 OF 4)
Legal Description: WHITE CITY S/D 10 36 40 LOT 240 AND LOT 241 - LESS N 300 FT AND S 175 FT OF N 475 FT OF
W 425 FT LYG EOF E R/W OF US #1 (66FT) AND LESS RD AND CANAL R/W
Property Tax ID #: 3403-502-0308-000-6 Lot No.
Site Plan Name:
Project Name: GRUWELUREROOF
Setbacks Front Back:
Right Side: Left Side:
Block No.
DETAILED DESCRIPTION OF WQ,RK:
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW 5V CRIMP METAL PANEL ROOF
SYSTEM OVER 30# FELT UNDERLAYMENT (4/12 PITCH)
CONSTRUCTIONINFORMATION
'
`
.,.,"a w r
Additional work to be nerformed
under
this permit —check
all
apply.
r
E1HVAC
LI
Gas Tank
❑Gas
Piping
_
Shutters
a Windows/Doors L
Electric ❑ Plumbing
Sprinklers
E Generator
W1 Roof
Total Sq. Ft of Construction: 1,700
S Ft. of First Floor: 1,200
Cost of Construction: $ 5,440.00
Utilities:
Sewer 0Septic
Building Height: 1 STORY
dWNER/LESSEE: :°' *
CONTRACTOR .:' n"
Name LARRYGRUWELL
Name: KYLE WHITE
Address: 4801 DUNN RD
Company: J.A. TAYLOR ROOFING INC
City: FT PIERCE State: FL
Address: 302 MELTON DR
Zip Code: 34981 Fax:
City: FORT PIERCE State: FL
Phone No. 772-461-1667
Zip Code: 34982 Fax: 772-468-8397
E-Mail:
Phone No. 772-466-4040
Fill in fee simple Title Holder on next page (if different
E-Mail: NADINE@JATAYLORROOFING.COM
from the Owner listed above)
State or County License: CCC 1325895
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: x Not App
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
x Not Applicable
State:
x Not Applicable
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 r perty. A Notice of Commencement must be recorded and posted on the jobsite
before the firs ectiq If you intend to obtain financing, consult with lender oqLAw,
,attorney before
comme work or r ording vour Notice of Commencement. /l
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instru was acknowledged before me
this _ ent day of 20 aby
KYLE WHITE
(Name of person acknowledging)
re of Notary Public State
Personally Known x ' OR R�ffiduc€
Type of Identification Prod ucedm
Commission No. FF936050
Revised 07/15/2014
rise Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrume t was acknowledged before me
this &_ day of 201 by
KYLE WHITE
(Name of person acknowledging)
(Sig ature of Notary Public- tate of Florida
L`ad� �p\NE MN
Personally Known x OR Produce `derltx ym •. 9 ��.
Type of Identification Produced ;°� ,Obar 16'�FA-`—��
2 o�No
Commission No. FF936050 a :(Seal1�•� e=
2 ; # F 936050
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