HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED - Permit Number: d )' C7
S4 Lucie Cootie
Building Permit Application
Planning and Development Services JAN 2 2 2018
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
"WTI
V
Address: 15363 SKYKING DRIVE, PORT ST LUCIE
Legal Description: TREASURE COAST AIRPARK LOT 72 AND A 20 FT STRIP ADJ ON S MPDAF: BEG SE COR OF LOT 72 RUNS
89 33 44 W 265 FT, TH S 00 32 213 20 FT, TH N 89 33 44 E 265 FT, TH N 00 32 21 W 20 FT TO SE COR OF LOT 72 AND POB
Property Tax ID #: 4224-501-0072-000-3
Site Plan Name:
Project Name: ELLIOTT/ REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC
METAL PANEL ROOF SYSTEM OVER OWENS CORNING SELF -ADHERED UNDERLAYMENT
(6/12 PITCH / 43SQ)
Additional work to be nprtormed u
❑HVAC Gas Tank
❑ Electric ❑ Plumbing
Total Sq. Ft of Construction: 4,300
Cost of Construction: $ 22,550
r inis permit — cnecK an apply:
❑Gas Piping _ Shutters ❑ Windows/Doors
❑Sprinklers ❑ Generator Roof
S Ft. of First Floor: 4,592
UtilitiesSewer ❑Septic Building Height: 1 STORY
UW�hER��SS ' E 7�
CONT�ACOI ��
„z�
<-, ��++
4 wH:"r '_ .a y,•, wW.
Name ARTHUR & MONICA ELLIOTT
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 15363 SKYKING DR
Address: 302 MELTON DR
City: PORT ST LUCIE State: FL
Zip Code: 34987 Fax:
City: FORT PIERCE State: FL
Phone No. 772-460-4757
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: ARTE933@GMAIL.COM
E-Mail: NADINE@JATAYLORROOFING.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC 1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SI 4° 56"i ^! l 5 * ! y H o
SUPPLEMENTAL_COLNSTRUCTI,ONLtE°NLAW INFORMATION�; ,< t
. <.
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x
Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x
Not Applicable
Name:
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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first insp r}y If you intend to obtain financing, consult with len r or an attorney before
commencing r rdinR vour Notice of Commencement. .111
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgping instruqient was acknowledged fore me
this day of U OcXl: 20 j_by
KYLE WHITE
(Name of person acknowledging)
(Signature of Notary Public- State of Florida
�\�o0y�0 lipli�t IIBOOB`®�
Personally Known x OR Prodtq>r�%if��ri�%_
Type of Identification Produced ` �_ .���gSION�A•�^
—cn
•
Commission No. FF936050 a eaallL®
"� • #FF 936050 � Q
Revised 07/15/2014
ILICH:
eeuui
Signature of Co-ttraEfor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The for Fying instru ent was acknowledged before me
this day of _I CtA(JQ6V20 LK by
KYLE WHITE
(Name of person acknowledging )
(Signature of Notary Public- State of Florid \``,, WIIIM,,,,,,,,
Personally Known x OR ProducN�`fM��#ts�As�'
Type ofIdentification Produced _o. �,_,,,,�E(,o.'•., %�
>� o=O !p cn
Commission No. FF936050 d* ; �Sea�.�
#FF 936050
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
-(
COMPLETE
INITIALS