HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR • APPLICATION TO BE ACCEPTED "
Permit Number: �o W • nqTi
Date:
RECOVED
Buildjnpg, er iApplication JUN 1`Ii 2010
Planning and Development Services Permitting Department
Building and Code Regulation Division St Lude County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT L°OCATIQN
a� 1„ -,
Address: 212 DEERWOOD LANE, FORT PIERCE
Legal Description: SANDALWOOD ESTATES S/D BLK D LOT 2
Property Tax ID #: 2407-801-0031-000-0 Lot No.
Site Plan Name: Block No.
Project Name: MCGUIRE / REROOF
Setbacks Front Back: Right Side: Left Side:
ut
DETAILED DESCRIPTION, ,W,ORK
.,. � ,� • .. ..�..� ,.o- ,fir _�.,<-�n tis�,a°-a �a.+�� ... ..�., r s�.�,ll,�,..ti� a�,+.� ��`a-a� I� R. , .. .. .. .. �. .*w�Je, *r �Q b � .. ...... ,.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW PETERSEN EDGE-LOC METAL PANEL
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL UNDERLAYMENT.
FLAT PORTION: INSTALL 2-PLY POLYGLASS MODIFIED BITUMEN ROOF SYSTEM.
CONSTRUCTI0.N,1NAF0RMA," N
r
11HVAC 1-1 Gas Tank
11 Electric ❑ Plumbing
Total Sq. Ft of Construction: 4,000
Cost of Construction: $ 19,350
unaer tnis permit — cnecK an appiy:
In
Gas Piping _ Shutters Q Windows/Doors
Sprinklers E Generator W1 Roof 6/12 Roof pitch
S Ft. of First Floor: 1,930
Utilities:CnSewer []Septic Building Height: 1 STORY
0,1NNE'R/LESSEECONTRACTfJR;`
.
Name MCGUIRE FAMILY REVOCABLE TRUST
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: PO BOX 203
City: PINEDALE Stater
Address: 302 MELTON DRIVE
Zip Code: 82941 Fax:
City: FORT PIERCE State: FL
Phone No. 307-367-4707
Zip Code: 34982 Fax: 772-468-8397
E-Mail: NANCYJAYEMC@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 of construction is 52500 or more, a RECORDED Notice of Commencement is required.
,t
l
SUPPLEMENTAL CONSTRUCTION. LIEN LAW INFORMATION: -
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:_
" Not Applicable
BONDING COMPANY:
Name:
Address:
Citv:
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 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 inspeffdon. If you intend to obtain financing, consult with I er or an attorney before
rnmmpnring wnc1c*r-rwrnrdina vnur Nntirp of rnmmanramant _
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 acknowledgedbeforeme
The forgoing instrument was acknowledge efore me
this 14TH day of JUNE 20 ) O' by
this 14TH day of JUNE 020E 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 .9111111111J}!a9®
Produced
�S>` '�%✓
�e��PQ\OlE MA/�!!�F ✓✓r✓�
•
a �SS10 e
N�° i✓
��e1Ot11111idi09/96/,✓✓
Joao® \NE Mr�VRFs9,✓✓A��s
° �ti�M ,
o bar 1S � •
'°SSIONp°°° >r_
(Signature of Notary Public- State ogF)pfIfd �� =
(Si ature of Notary Public- State of oric�a 15 �0 N
• n..s _
,01,
�zz m •3
Commission NO. FF936050 o�j$ed F936050 `
Commission No. FF936050 k ;(Seal
V onded tlo o 00
1 936050 o
0
H 1111111
✓>W,
L1C,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE �
IiVAOVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
l
DATE
COMPLETED
Rev. 8/2/17