HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY l'
ALL APPLICABLE` INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: 3,Z 1 1� SCANNED Permit Number:
O�ECEIVED
Building Permit Applicatio MAR 0 2 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof�,q
PROPOSED IMiPROVEMENT LOCATION:
_ 9An �AVQIAIl�CO AWE: Cn -r r3ICollC
Haaress:
Legal Description: REGINA PALM S/D BLK 8 LOTS 18 & 19
Property Tax ID Lot No._
Site Plan Name: Block No.
Project Name: DAVIS/REROOF
Setbacks Front Back: Right Side: Left Side:
ITEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V-CRIMP METAL
PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT.
11HVAC H Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 1,600
Cost of Construction: $ 6,200
Gas Piping LJ Shutters 0 Windows/Doors
Sprinklers F]Generator R1 Roof 5�12 Roof pitch
S of First Floor: 1,500
11Ft
Utilities: Sewer Septic Building Height: 1 STORY
OWNER LE--SSEE: 111111,
Name KAYCEE DAVIS
Name: KYLE WHITE
Address: 340 BAYSINGER AVE
Company: J.A. TAYLOR ROOFING INC
City: FT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-340-5465
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
E-Mail: DAVISKAYCEE@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL`C
NSTRUG 10 � N L/�UU INF6 RMATION F 4
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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 inspection of you intend to obtain financing, consult with len r or an attorney before
commencing wor &ding vour Notice of Commencement. � /i
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The for oing instrument wacknowledgeq,�efore me
this �as day of 20 J_6 by
KYLE WHITE
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
0�0�10l�11iFa
Personally Known x OR ProducoFYiIi'�i
Type of Identification Produced
Commission No. FF936050 e
#FF936050
Revised 07/15/2014
Signature offtractor,
STATE OF FLORIDA
COUNTY OF STLUCIE
The fo rgoing instrume w
thisday of Ve acknowledged efore me
20 � by
KYLE WHITE
(Name of person acknowledging)
(Sig ture of Notary Public- State of Florida) .
erz��tlunlrrrri
Personally Known x OR Producj ,L"
Type of Identification Produced
.g � in.
Commission No. FF936050 =)t (eajbe
#FF 936050
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