HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q�
Date: )• �Permit Number:
Building Permit Application 19 2017
Planning and Development Services DEC,
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
Address: 7202 DELAND AVE
Legal Description: LAKEWOOD PARK - UNIT 10 - BLK 127 LOT 3
Property Tax ID #: 1301-612-0184-000-9
Site Plan Name:
Project Name: KULSCAR/REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
t#K� ssa
W
DETAILED DESCRIPl'ION.OF >�"
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1 "SS
METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT (24SQ / 3/12PITCH)
CONSTRUCTIONa:INFORMATION..
$r"'' s,..r ,m �. °fib-,•°.<i xmv.. b.„C.:7-rw., e, i. r a,,r..a:x i.., �..w bey, ...aA i, 4+a .. .. ,f,�
Aaaltlonal work to be ertormed under this ;permit —check all apply:
11HVAC Ei Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers I Generator 7 Roof
Total Sq. Ft of Construction: 2,400 Sq. of First Floor: 2,258
Cost of Construction: $ 8,500 Utilities: IJ Sewer E]Septic Building Height: 1 STORY
-OWNER/LESSEE,.%"
CONTRACTLOR ; 4b; �"b
Name TOMIJON KULSCAR
Name: KYLE WHITE
Address: 1015 24TH AVE
Company: J.A. TAYLOR ROOFING INC
City: VERO BEACH
State: FL
Address: 302 MELTON DR
Zip Code: 32960 Fax:
City: FORT PIERCE State: FL
Phone No. 772-708-3501
Zip Code: 34982 Fax: 772-468-8397
E-Mail: KULSCART@GMAIL.COM
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 57500 or more, a RECORDED Notice of Commencement is required.
DESIGNE
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
State:
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
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 you
rert Notice of Commencement must be recorded and posted on the jobsite
before the first in o Intend to obtain financing, consult with lender ao� ney before
commenc' r c odi your Notice of Commencement. �/ /
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The f ing instr ent was cknowledged before me
this day of 20 /by
KYLE WHITE
(Name of person acknowledging)
(Signature of Notary"Public- State of FtgR#
Personally Known x OR ProdBcedA0fld�t
Type of Identification Produced a °j
Commission No. FF936050 (S,k��936050
Revised 07/15/2014
re of Contractor/License
STATE OF FLORIDA
COUNTY OF STLUCIE
The for ing instryment was pcknowledged before me
this day of 20 / 7 by
KYLE WHITE
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
��yaoi i l l l l l l l l l I100'!//
Personally Known x OR Pr
oduced�A
Type of Identification Produced M�sS10
ZU
Commission No. FF93605o 6
e z ; #FF 936050 _
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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INITIALS