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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLI Date: SCAU Ely st hrip r, Building Per TO BE ACCEPTED Permit Number: Ivltq/ dt 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 xx RECEIVED APR 0 4 2018 Permitting Departn St. Lucle Count, PERMIT APPLICATION FOR: Roof PROPOSED 111%IPR01lElUIENT.LOCATION . Address: 2830 BROCKSMITH ROAD, FORT PIERCE Legal Description: SUBDIVISION OF MC NURLEN F Property Tax ID #: 2320-501-0064-000-3 Site Plan Name: Project Name: HAMRICK/REROOF Setbacks Front Back: Right Sidq: BLK 4 LOT 12 - LESS W 193 FT Left Side: D'ETAILED�DESCRIPTI0111.OF Wbilk,k;'AR Lot No. Block No. TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL JA TAYLOR ROOFING 5V CRIMP METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. Haaltionai wont to nje nerrormea under this permit —check all apply: In OHVAC LI Gas Tank Gas Piping _ Shutters a Windows/Doors 11 Electric 0 Plumbing Sprinklers I Generator W1 Roof 6/12 Roof pitch Total Sq. Ft of Construction: 3,500 S Ft. of First Floor: 1,884 Cost of Construction: $ 12,650 UtilitiesI : Sewer Septic Building Height: 1 STORY OWNER%LESSEE CONTRACTOR .. a Name DONALAN & CARISSA HAMRICK Name: KYLE WHITE Address: 2830 S BROCKSMITH RD I Company: J.A. TAYLOR ROOFING INC Address: 302 MELTON DRIVE City: FORT PIERCE State: FL I City: FORT PIERCE State: FL Zip Code: 34945 Fax: Phone No. 772-201-4939 I Zip Code: 34982 Fax: 772-468-8397 E-Mail: CYNTHIAP7129@GMAIL.COM Phone No. 772-466-4040 Fill in fee simple Title Holder on next page ( if different E-Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC1325895 from the Owner listed above) i It value of construction is �2500 or more, a RECORDED Notice of Commencement is required. i ;� r. SUPPLEMENTAL CONSTRUCTION "kN1A1N'INFORMATION / pp MORTGAGE �t DESIGNER ENGINEER: _ Not Applicable Applicable Name: Name: Address: address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone:_ of Applicable BONDING COMPANY: Aot Applicable d�ame: ddress: 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 Is Iuance 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 rL les, 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 aind 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 roperty. A Notice of Commencement must be recorded and posted on the jobsite before the first in ct�n. If you intend to obtain financing, consult with len an attorney before e commencinor r nrding vour NntirP nf CnmmPnrPrnPnt- Signature 'of Owner/ Lessee/Contractor as Agent for Owner Signature_of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The forgoing instrument was acknowledged before me he forgoing instrument was acknowledged before me this 2ND day of APRIL 20— by his 2ND day of APRIL 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 Type of Identification Produced ,, �NM@pNRFSB`°�>sA //`'� Produced b°��yPo\��SSION 1S, o�/9�N - e�>'��p9411i0PI0dH$gr9r RFSq®✓/��fP e . _ti�bet o° ���@>��\N�S to (31griature of Notary Public- State of: -Iwtda) ©°� m Q� Si ature of Notary Public- State of�orb a6 0�cn°o e W S°m Commission No. FF936050 �a�L BogQe6 ��� d"df`� \ Commission No. FF936050 o (Se e •r,�'��9�p REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTL GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Kev. 6I L/ 1I