HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FQA�PLII
Date: �� N�NEI
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TO BE ACCEPTED
Permit Number: an • O (��
Building Permit Application RECEIVED
Planning and Development Services APR 12 2018
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 XXLucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof I
PROPOSED IMPROVEMENTIOCATION;
Address: 804 SHORE WINDS DRIVE, UNIT C I
Legal Description: CORAL COVE BEACH - SECTION ONE - BLK 1 WLY 54 FT OF LOT 18 AND ELY 49.6 FT OF LOT 19
AND SLY 10 FT OF VAC ALLEY ADJ ON N I
Property Tax ID #: 1425-701-0019-000-6 II Lot No.
Site Plan Name: f Block No.
Project Name: TRI-PLEX/RE-ROOF I
Setbacks Front Back: Right Side: Left Side:
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DETAILEU DESCRIPTION OFg WORK
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF -
ADHERED UNDERLAYMENT.
CONSTRUCTION INFORMATION ..,
Additional work to be nertormed un ert is permit—c ec a appy:
E]HVAC LI Gas Tank �G Is Piping _ Shutters ❑ Windows/Doors
Electric ❑_ Plumbing ❑Srinklers Generator W1 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 800 I S . Ft. of First Floor: 1,088
Cost of Construction: $ 4,385 I Utilities:n Sewer Septic Building Height: 2 STORY
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OWNER/LESSEE �, ?� ..
fi
CONTRACTOR:,,' "2
Name SHOREWINDS LLC
Name: KYLE WHITE
Address: 11501 SW 2ND ST I
Company: J.A. TAYLOR ROOFING INC
City: PLANTATION I State: FL
Address: 302 MELTON DRIVE
Zip Code: 33325 Fax: I
City: FORT PIERCE State: FL
Phone No. 772-631-1977 I
Zip Code: 34982 Fax: 772-468-8397
E-Mail: I
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)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION, L[EN°LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY: _ of Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone j
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ of Applicable I
BONDING COMPANY: _ of Applicable .
Name:
Name:
Address: I
Address:
City: I
City:
Zip: Phone:
Zip: Phone: I
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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
in accordance with the approved plans, the Florida Building C
The following building permit applications are exempt from u
accessory structures, swimming pools, fences, walls, signs, scl
WARNING TO OWNER: Your failure to Record a Noth
improvements to r prop y. A Notice of Comm
before the firs ection you intend to obtain fl
commencin or re din our Notice of Corn
eby agree that I will, in all respects, perform the work
s and St. Lucie County Amendments.
rgoing a full concurrency review: room additions,
i rooms and accessory uses to another non-residential use
:e of Commencement may result in your paying twice for
2ncement must be recorded and s d on the jobsite
nancing, consult with lend rney before
mencement.
I
gnature 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 acknowledgeqJbefore me I
The forgoing instrument was acknowledge before me
this 11m day of APRIL 20by I
this »u, day of APRIL , 20 by
I
KYLE WHITE I
KYLE WHITE
Name of person making statement I
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identific t' yy_
Type of Identification I
MAF°✓<�,�
Type of Identification
Produced �y�\\ti\Q�N
Produced ��``�c,CXt?�`SS
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�.�` •,Oa�bar 16,?oA9
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( gnature of NotaryPub ic- State of Flo�ldg
(Signature of Notary Public- State of Floriit�J °o #FF 936050 0'
#FF936050 o Q
Commission No. FF936050 ' G eandadlh�� �a
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Commission No. FF936050 �'9� •s,,;Not�ryS�N•.°•�\
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DATE
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Rev. 8/2/17