HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: j Permit Number:
SCANNED
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Building Permit Application APR 12 1018'
Planning and Development Services
Building and Code Regulation Division permitting Department
St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)I462-1578 Commercial Residential XX
PERMIT APPLICATION FOR:
Roof
PROPOSED lMPR01/EMENT
LOCATION
r ,: , e
Address: 804 SHORE WINDS DRIVE, UNIT B
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
Property Tax ID #: 1425-701-00191r000-6 Lot No.
Site Plan Name: I Block No.
Project Name: TRI-PLEX/RE-ROOF
Setbacks Front Bach: Right Side: Left Side:
..:. . "rcu`a 'fi �r - { a 1`ti�i
DETAILED DESCR PTI N OF UVORK: 1e s
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 UNDERLAYMENTI�
CONSTRIJCTI0N INEQROAT'ION. ,Y
_ Additionalwork to be nertormed under this permit —check all apply:
1]HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers El Generator W1 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 800 S . Ft. of First Floor: 1,088
Cost of Construction: $ 4,385 Utilities: Sewer 0Septic Building Height: 2 STORY
I
OWNER/LESSEE
CONTRACTOR
Name SHOREWINDS LLC
Address: 11501 SW 2ND ST
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
City: PLANTATION State: FL
Zip Code: 33325 Fax:
Phone No. 772-631-1977
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above) j
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
II If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
I
SUPPLEMENTAL CONSTRUCTION LIEN i"AW INFORMATION
,.
DESIGNER/ENGINEER: t G
Applicable MORTGAGE COMPANY: _�dot Applicable
Name:
Name:
Address: Address:
City: State: City: State:
Zip: Phone I Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
of Applicable
BONDING COMPANY
Name:
Address:
City:
Zip: Phone:
of Applicable
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 lcommenced 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 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 to Record a Notice of Commencement may result in your paying twice for
improvements to your pro rty. A Notice of Commencement must be recorded ;Wn
oste�4,on the jobsite
before the first inspe If you intend to obtain financing, consult with lender a ney before
commencinE wo recor�ng vnur NnfICP of CnmmanramPnt ���
Signature of Owner/ Lessee/Contract r as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
i
COUNTY OF STLUCIE
The forgoing instrument was acknowledgefbefore me
The forgoing instrument was acknowledged before me
this 11th day of APRIL I20�b by
this 11th day of APRIL , 20A 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
Produced
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(Si ature of Notary Public- State of Fforid*oe�bor r52o 09 o s
(Signature of Notary Public- State of FIQrid4t_F 0-' ,,?
Commission No. FF936050 (Seal) 6
Commission No. FF936050 o.jea(')F F936050 °
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REVIEWS
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DATE
RECEIVED
DATE
COMPLETED
neV. 6/L/1/