HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number:
i
09AN N O RECEIVED
0q pl7
B6ilafhWO'6ft "WAppIication ��R 20
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
PERMIT APPLICATION FOR:
Address: 301 HOLLY AVE, PORT STILUCIE
I
Legal Description: RIVER PARK - UNIT 2 BLK 21 LOT 3
Property Tax ID #: 3419-510-0302-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: I Right Side
Left Side:
Permitting pepa,"
St. Lucie County
Residential xx
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW 5V METAL SALES METAL PANEL ROOF
SYSTEM OVER SELF -ADHERED UNDERLAYMENT
Haamonai worK to Djenerrormea under tnis permit— cnecK anMappiy:
❑HVAC L_J Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction: 2,600 I S . Ft. of First Floor: 1,600 �11a.
Cost of Construction: $ 9,300 j UtilitiesInSewer ❑Septic Building Height: 1 STORY
i
gA"ce�a",S$'W'Nia'
01NNER/LESSEE
"5"±b? raS,#"dti.`"�&_cN F4. v�u,¢"awm.''�.a, S1
] E 3
CONtTaRACTOR
v.. s. s_i?';Ti,.`a`w+-u.'d'M'.`wa4r
Name ET INVESTMENTS LLC
Name: KYLE WHITE
Address: 6153 S US 1
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE i state: FL
Address: 302 MELTON DRIVE
Zip Code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No. 772-418-2584
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) j
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSl"R+UCi IQN LIEN LAUV'IN'FORKMA.
0I
01.11W
DESIGNER/ENGINEER:
_ of Applicable
MORTGAGE COMPANY:
LNot Applicable
Name:
Name:
Address:
Address:
City:
;State:
City:
State:
Zip: Phone
i
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ of Applicable
BONDING COMPANY:
_ of Applicable
Name:
Name:
Address:
I
Address:
City:
I
City:
Zip: Phone:
Zip: Phone: I
I
OWNER/ CONTRACTOR AFFIDVIT:
I certify that no work or installation has c
St. Lucie County makes no reps
which is in conflict with any ap
structure. Please consult with
In consideration of the granting of this requ
in accordance with the approved plans, the
flication is hereby made to obtain a permit to do the work and installation as indicated.
nenced prior to the issuance of a permit.
t is granting a permit will authorize the permit holder to build the subject structure
Owners Association rules, bylaws or and covenants that may restrict or prohibit such
ners Association and review your deed for any restrictions which may apply.
permit, I do hereby agree that I will, in all respects, perform the work
a 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
improvements to your property. A
before the first ins pionI . you in
commencing x6cec ing VOL
I Record a Notice of Commencement may result in your paying twice for
)tice of Commencement must be recorded and posted on the jobsite
nd to obtain financing, consult with lend r an attorney before
Notice of Commencement. '�)
I
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Con ractor/License Holder
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OF STLUCIE I
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 12 day of MARCH 20— by
I
this 12 day of MARCH 20_ by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification o���sliilil1l96d96i
Type of Identification
Produced
AFsq�®
Produced
g\' ss ON
°.
o\,��o>0�Pp1NEI MANgF y,
°��ISSIOry °° s9
_� e o� �bor rsAi
�� •
rs
e�bor
(Si nature of Notary Public- State otFlotida
- �FF 936050
Sig ature of Notary Public- State of Florida
y o o Qv
a o • • @.
Commission No. FF936050 ��ndedlb�go: �Q�e
' z : #FF936050
Commission No. FF936050
/��o'''�✓/aBC,•STA�E�O�� \moo
O � �nd, d 1hN.€g:OQ
•No SaN
>OIOIIIIi1B0411
a�®j`!/C, STAZE������
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17