HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
i Pup C6071 /'
Building Permit Application
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 Residential
PERMIT APPLICATION FOR: Roof
Address: 7401 SANTA CLARA BLVD, FORT PIERCE
Legal Description: LAKEWOOD PARK- UNIT 7 - B 11�K 71 LOT 16
Property Tax ID #: 1301-607-0044-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
i
Right�,Side:
Left Side:
RECEIVED
APR 04 2018
Permitting Department
St. Lucle County
XX
Lot No._
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN EDGE-LOC V-SS METAL PANEL
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL U.,NDERLAYMENT.
RHVAC u Gas Tank
Electric ❑ Plumbing
Total Sq. Ft of Construction: 3,200
Cost of Construction: $ 14,500
Gas Piping, Shutters [] Windows/Doors
Sprinklers El Generator Z Roof 5/12 Roof pitch
S . FtFtj of First Floor: 1,473
Utilities: LJ—Sewer Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name STACEY GARDNER CARTER
Name: KYLE WHITE
Address: 7401 SANTA CLARA BLVD
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-466-8142
E-Mail: SCARTER@SLCFD.ORG
Company: J.A. TAYLOR ROOFING INC
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
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 CU`N�TRUCT ON LIEN LA
INIFOR�MgT1Q
DESIGNER ENGINEER: _ Not Applicable
Name: I
MORTGAGE COMPANY:
Name:
`—Wot Applicable
Address:
City: State:
Zip: Phone
I
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
✓fVot Applicable
Address: I
City: I
Zip: Phone: I
I
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application islhereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is grantinlg 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 frll m 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 pr rty. A Notice of Commencement must be recorded and posted on the jobsite
before the first insp f,,�yrou intend to obtalin financing, consult with lendor ap�attorney before
commencine wo ecora�ihe vour Notice of Commencement. // //
Signature of Owner/ Lessee/Contractor as Agent for Owner
i
Signature of Contractor/License Holder
STATE OF FLORIDA
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 2ND day of APRIL 20_ by
this 2ND day of APRIL 20_ by
i
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
Type of Identification
Produced
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�SSION
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REVIEWS
FRONT
ZONING
IJPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17