HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
&6111prnifitv RECEIVED
Building Permit Application APR .64 2018
Planning and Development Services Permitting De , partment
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
0 .;PROPOSED , I MPR QVEM.ENT LCATIONR�1'
Address: 911 W 1st STREET, FORT PIERCE
Legal Description: WHITE CITY BILK 10 LOTS 7,8, PAND N 10 FT VAC VALLEY ADJ ON S
Property Tax ID #: 3404-501-0066-000-7
Site Plan Name:
Project Name: CHAN LION GCO/R EROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER 30# FELT LINDERLAYMENT.
CONSTRUCT ",INFORMATION,
Additional work to be nertormed under this perF—If— check all apply:
E1HVAC EiGas Tank OGas Piping Shutters F—]Windows/Doors
Electric ElPlumbing Sprinklers Generator W1 Roof4/12 Roof pitch
Total Sq. Ft of Construction: 3,800 S Ft of First Floor: 1,669
Cost of Construction: $ 11,780 utilitiest SewerE]Septic Building Height: 1 STORY
4-
'NER/LESSE8-"��.,
W
-CONTRACTOR:
Name KEITH CHANLIONGCO
Name: KYLE WHITE
company: J.A. TAYLOR ROOFING INC
Address: 911 W 1st ST
City: FORT PIERCE State: FL
Address: 302 MELTON DRIVE
Zip Code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No. 772-332-8684
Zip Code: 34982 Fax: 772-468-8397
E-Mail: KCHANLIONGCO87@GMAIL.COM
Phone No. 772-466-4040
Fill in fee simple Title Holder an next page if different
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
from the Owner listed above)
IIIT vaiue OT construction is %)Z!)UU or more, a KELUIRDED Notice of Commencement is required. II
SUP RLEMENTALw,CONSTRUCTION' LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ of Applicable
MORTGAGE COMPANY: _LUot Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ of Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
I
Address:
City:
I
City:
Zip: Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby 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 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 Buillding 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 in n. you intend to obtain financing, consult with lendergAn attorney before
commencing r reco ing your Notice of Commencement. // 7
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa ure of Con ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
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
KYLE WHITE
KYLE WHITE
Name of person making statement I
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification `
Type of Identification
Produced
Produced oo`e
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tev. 8/2/17