HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: _ rJl� 3 7
13T �ii( RECEIVED
� St Lucie C0ja0"y
_ JUN 2 5 2018
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
23o6 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
Address: 9412 POINCIANA COURT, FORT PIERCE
Legal( Description: MEADOWOOD UNIT ONE LOT 15
Property Tax ID #: 1334-503-0017-000-5
i
Site Plan Name:
1
Project Name: SCHULTZ/RE-ROOF
Setbacks Front Back:
G
Right Side: Left Side:
DETAILED DESCRIPTION O'ICRK�
Lot No:_
Block No.
TEAR OFF TILE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL
PANEL ROOF SYSTEM OVER 30# FELT LINDERLAYMENT.
CONSTRUCTION INFORMX', ]O'N'y i � `� _ �, ��� �.
..
Additionalwork to be nerformed under
this permit — check all
apply:
E1HVAC
Gas Tank
❑Gas Piping
_
Shutters
a Windows/Doors
0 Electric 0 Plumbing
Sprinklers
E] Generator
Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 4,000
Sq. Ft. of First Floor: 2,583
Cost'ofConstruction: $ 21,500
Utilities:Sewer
Eheptic
Building Height: 1 STORY
01l1/NERLESSEE
CONTRACTOR:
Name ERWIN SCHULTZ & SUSAN HOPKINS
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 9412 POINCIANA CT
City: FORT PIERCE State: FL
Address: 302 MELTON DRIVE
Zip Code: 34951 Fax:
City: FORT PIERCE State: FL
Phone No. 772-464-0190
Zip Code: 34982 Fax: 772-468-8397
E-Mail: SCHUHOP@BELLSOUTH.NET
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
It value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/E
Name:
Address:_
City:
Zip:
Pho
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City: 1,
Zip: H Phone:_
V Not Applicable
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
of Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
lot Applicable
State:
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.
it
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 attor ey before
commencing wor reWding your 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
I
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 22nd day of JUNE 20_ by
this 22nd day of JUNE 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 t\\1\i011lllld dd1°0°s
Type of Identification
Produced
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Produced �,,�i\t�ilillldlld°f°°
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° SIOry cy .°
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ember
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(Si nature of Notary Public -State o0otida) o =
(Sign ure of Notary Public- State of Fl ri la )
OFF 936050
Commission No. FF936050 !r-.( ondedlbe �?o m p�0
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Rev. 8/2/17