HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
SCANN
�„ A = -�a1 t,� ev
RECEIVED
® S$ Lucie OU• jii
Building Permit Application
MAY 16 2018
Planning and Development Services
Permitting Department
Building and Code Regulation Division
St. Lucle county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof.
r
=PROPOSED, IMPROVEMENTaLOCATION:
Address: 7402 OCALA AVENUE, FORT PIERCE I
I
Legal Description: LAKEWOOD PARK ADDITION NO 1 - BLKB LOT 13
I
Property Tax ID #: 1302-810-0040-000-9
Lot No.
Site Plan Name: I
Block No.
Project Name: BAKER / REROOF I
Setbacks Front Back: Right Side: Left Side:
II DETAILED�bESCRIPeTION OF�WORK :v II
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN EDGE-LOC 1 "SS METAL PANEL
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF -ADHERED
UNDERLAYMENT.
CONSTRUCTION INFORMATION
Acid itiona I work to e e orme under this permit —check a ape y:
❑HVAC Ei Gas Tank ❑Gas Piping fn _ Shutters Windows/Doors
11 Electric E] Plumbing Sprinklers I Generator 7 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 4,100 I SC . Ft. of First Floor: 1,612
Cost of Construction: $ 18,250 Utilities: LJ Sewer 0 Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR ;~,
Name CYNTHIA BAKER
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 7402 OCALA AVE
City: FT PIERCE State: FL
Address: 302 MELTON DRIVE
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 772-501-3557
Zip Code: 34982 Fax: 772-468-8397
E-Mail: MIZCINU@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 vaiue oT construction is }zbuu or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: 'v Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: ✓Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: If Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
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 priorlto 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 Wperty. A Notice of Commencement must be recorded and posted on the jobsite
before the first in on you intend to obtain financing, consult with lender a rney before
commencin or rec r in 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 acknowledged before me
The forgoing instrument was acknowledged before me
this 14TH day of. MAY 20_ by
this 14TH 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
Produced
Type of Identification
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW 1
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev.8/2/17