HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: �J• ��" �� PermitNumber:1a02'
WANNER
r r RECEIVED
-
. l� e CO0(�[v
Bluil ing, Permit Application MAY 1 1 2018
Planning and Development Services y-
ST. Lucie Count Permittin
Building and Code Regulation Division 9
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof
PROPOSED-IMPROVEMENTI.O'CATION:-' A,
Address: 5100 EAGLE DRIVE, FORT PIERCE
Legal Description: HOLIDAY PINES S/D - PHASE II - B = LOT 222
Property Tax ID #: 1312-801-0025-000-1
Site Plan Name:
Project Name: SYKES / REROOF
Setbacks Front Back:
Right Side: ', Left Side:
DETAILED -DESCRIPTION -OF WORK r..
Lot No.
Block No.
ITEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN EDGE-LOC METAL PANEL
ROOF SYSTEM OVER 30# FELT UNDERLAYMENT.
CONSTRUCTION INFORMATION
Additional work.to be nerformed under tis permit —check all that apply:
E1HVAC 0 Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers M Generator Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 5,400 S . Ft. of First Floor: 2,652
Cost of Construction: $ 24,850 Utilities: Sewer Septic Building Height: 1 STORY
OWNER/LESS„EE:.
CONTRACTOR:,
Name PETRA SYKES
Name: KYLE WHITE
Address: 5100 EAGLE DR
Company: J.A. TAYLOR ROOFING INC
City: FT PIERCE State: FL
Address: 302 MELTON DRIVE
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 812-521-0144
Zip Code: 34982 Fax: 772-468-8397
E-Mail: WALLYDRIVER60@YAHOO.COM
Phone No. 772-466-4040
Fill in fee simple Title Holder on next page ( if different
E-Mail: NADINE@JATAYLORROOFING.COM
from the Owner listed above)
State or County License: CCC1325895
it value or construciion is :�c5uu or more, a KtcUKOW Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION I'EN LP►W, INFOR7N
. MAT .•10.,,,:
DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: _ of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: iiffot Applicable BONDING COMPANY:
Name: Name:
Address: J Address:
City: City:
Zip: Phone: Zip: Phone:
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 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'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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an at�ey b fore
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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
The forgoing instrument was acknowledged before me
this 1OTH day of MAY 20_ by
this 10TH day of MAY 20_ by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identifj6ti'd0,;,:;,..
PersonallyKnown xx OR Produced Identification
Type of Identification ���'����� MAN F
re
Type of Identification
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Commission NO. FF936050 (�kf (jS�P(rG�OR�°
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COmmIS510n No. FF936050 0Z•o (SffW)6050No
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