HomeMy WebLinkAboutBUILDING PERMIT APPLICATION--C
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: SCANNED Permit Number: I Oo'-�c��
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l�JYI �I��9PI�PS��G�Ye� RECEIVED
Building Permit Application APR 12 2018
Planning and Development Services Pef►nitting 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
PROPO$ED.IMPROVEMENT LP AT
a
Address: 4090 EDWARDS ROAD, FORT PI
Legal Description: 29 35 40 W 148.5 FT OF S 880 7 OF W 1/2 OF NW 1/4 OF NW 1/4 - LESS S 33 FT FOR RD
Property Tax ID #. 2429-222-0003-000-6 Lot No.
Site Plan Name: Block No.
Project Name: HINKLE/RE-ROOF
Setbacks Front Back: Right Side: Left Side:
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING SELF -ADHERED UNDERLAYMENT.
CONSTRUCTION INFORMATION
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Additionalworkto e e orme under. this permit — check a app y:
11HVAC Ei Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 2,400 S Ft. of First Floor: 1,073
Cost of Construction: $ 10,040 Utilities:Sewer Septic Building Height: 1STORY
I
OWNER'%LESSEECON1"RACTOR.`
`
Name RANDALL HINKLE
Name: KYLE WHITE
Address: 4090 EDWARDS RD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Address: 302 MELTON DRIVE
Zip Code: 34981 Fax:
City: FORT PIERCE State: FL
Phone No. 772-979-4082
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
from the Owner listed above)
State or County License: CCC1325895
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
SUPPLEMENTAL
CONSTRUCTIOJV
Ip N IA,W fNFURMATI0N
DESIGNER/ENGINEER:
of Applicable
MORTGAGE COMPANY:
—L.Ni6t Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
t Applicable
BONDING COMPANY:
_ of Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 grantingja 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, 11 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 t�recolir)t4g
ry. A Notice of Commencement must be recorded and poste he jobsite
before the first iyo intend to obtain financing, consult with lender or an ney before
commencingwoour Notice of Commencement.
I
Signature cf Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor
icense 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 11ih day of APRIL 20_ by
this �1th 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
OAl11R@1@!ldJd00
Produced
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DATE
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DATE
COMPLETED
tev. 8/2/17