Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: 0 E—) CS (n BY St Ludle County RECEIVED Building Permit Application MAY 112018 Planning and Development Services Building and Code Regulation Division ST. Lucie County, PermlCting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx PERMIT APPLICATION FOR: Roof 'PROPOSED'IM"PROVEMENT LOCATION A E Address: 4901 GREEN DOLPHIN STREET, FORT PIERCE Legal Description: LAKEWOOD PARK - UNIT 1 - BLK 4 LOT 15 i Property Tax ID #: 1301-601-0046-000-6 Site Plan Name: Project Name: DONOHOE / REROOF Setbacks Front Back: Right Side: Left Side: Lot No. Block No. TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN EDGE-LOC METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. ❑HVAC ❑_ Gas Tank ❑ Electric 0 Plumbing Total Sq. Ft of Construction: 4,400 Cost of Construction: $ 20,860 unaer tnis permit — cI ❑Gas Piping ❑Sprinklers a L 1 Shutters ❑ Windows/Doors ❑ Generator W1 Roof 6/12 Roof pitch S . Ft. of First Floor: 1,728 Utilities: Sewer ❑ Septic Building Height: 1 STORY OINNERfLESSEE,P,�,'z';x n.. CONTRACTOR. w Name JUDITH DONOHOE Name: KYLE WHITE Address: 4901 GREEN DOLPHIN ST 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. 772-979-3813 Zip Code: 34982 Fax: 772-468-8397 E-Mail: POSSOM111 @AOL.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 of construction is 52500 or more, a RECORDED Notice of Commencement is required. SUPPLEMy, N@N � CCINSTRUCTIO , lIEN W IN'FORMaTION; DESIGNER/ENGINEER: _ of Applicable Name: Address: City: State: Zip: Phone MORTGAGE COMPANY: _L,, Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: BONDING COMPANY: _Not Applicable Name: Address: 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 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 property. A Notice of Commencement must be recorded and posted on the jobsite before the first i ectio . If you intend to obtain financing, consult with lender or ttor y before commencin or r rding your Notice of Commencement. Signature of ebntlricense Holder Signature of Owner/ Lessee/Contractor as Agent for Owner 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 10TH 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 Identification Personally Known xx OR Produced Identification Type of Identification Type of Identification Produced Produced �- y\r�e\2iiiil:�Sjs;�3rv: e �44N,gF'd�a�.• ueee�ett\N� (Si nature of Notary Public -'State of_ :lore oeo `'°���`'o =- (Si nature of Notary Public- State 04-F cede �`°� ° �0 9r o w7t°Zt psi �N°3'`: o _ e2� c9 Cn t": �•© ° Commission NO. FF936050 Sea - m (rF936050 Commission No. FF936050 ®�` a (Seeal, Z ': o�ti *.�> °° 90 B°gded�bN•�eoo �.. r� 99h a�rNokdSeN°° ��poeb`>�9 9�0° (QN. 5 °Q °°��a9etot SeN'� \�® )NryfN ....... 'S s q REVIEWS FRONT ZONING S��J�ERVISOR PLANS VEGETATION SEA TURTLEI�%I4AGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED tev. 8/2/17