HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOI
Date: SGAN�
L
N TO BE ACCEPTED
Permit Number:
m �
RECEIVED
4
Building P rmit Application APR 12 2010
Planning and Development Services Permitting Department
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
PROPOSEpJMPROVEMENT LOCATIO N
�. n,�a ��6�
Address: 804 SHORE WINDS DRIVE, UNIT A
Legal Description: CORAL COVE BEACH - SECTION NE - 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 #: 1425-701-0019-000-6 Lot No.
Site Plan Name: Block No.
Project Name: TRI-PLEX/RE-ROOF
Setbacks. Front Back: RightSide: Left Side:
7 �; a xnr 4
i DETAILE.D DE5CRlPTION OFWORK:
TEAR OFF SHINGLE, RE -NAIL DECK. INST LL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF -
ADHERED UNDERLAYMENT.
CONSTRUCTION INFORMATION
r,..
Additionalwork to je ne orme un er t is permit — check a apply:
11HVAC l _1 Gas Tank Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing ❑Sprinkles Generator W1 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 800 S Ft. of First Floor: 782
Cost of Construction: $ 4,385 tilitiesInSewer Septic Building Height: 2 STORY
Y
OWNER/LESSEE J
. ,. , .
NCONl"RACTOR
'
Name SHOREWINDS LLC
Name: KYLE WHITE
Address: 11501 SW 2ND ST
Company: J.A. TAYLOR ROOFING INC
City: PLANTATION State: FL
Address: 302 MELTON DRIVE
Zip Code: 33325 Fax:
City: FORT PIERCE State: FL
Phone No. 772-631-1977 I
Zip Code: 34982 Fax: 772-468-8397
E-Mail:
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
Fill in fee simple Title Holder on next page ( if different
State or County License: CCC1325895
from the Owner listed above)
It value of construction is $Z500 or more, a RECORDED Notice of Commencement is required.
SUPP'"EMENTAL
N LN
CONSTRU° °ION'LIEA
INF�RMA°
INN
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address: I
City: State:
Zip: Phone �-
MORTGAGE COMPANY: Not Applicable5
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _ of Applicable
Name:
I
Address:
City:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is her by made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior t the issuance of a permit.
St. Lucie County makes no representation that is granting a ermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assocl tion rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Associatio and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I d hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building odes and St. Lucie County Amendments.
The following building permit applications are exempt from ndergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, s reen 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 pVerty. A Notice of Comrr' encement must be recor�andpon the jobsite
before the first insp . I you intend to obtain financing, consult with leny before
commencing w reco n our Notice of Commencement.
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 acknowledge before me
The forgoing instrument was acknowledged before me
this 11th day of APRIL 20 by
this 11th day of APRIL 20A by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identif' ation
Personally Known xx OR Produced Identification
Type of Identification A°�@��a�ais�����r+r®
Type of Identification
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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DATE
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DATE
COMPLETED
Rev. 8/2/17