HomeMy WebLinkAboutBUILDING PERMIT APPLICATION%LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �XANWLW Permit Number: ( o,
BY RECEIVEn
St Lucie MOW JUN'2 5 2018
Building Permit Application Permitting Department
Planning and Development Services St. Lucie Count,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
�V' T I N
Address: 337 NOTLEM DRIVE, FORT PIERCE
Legal Description: RUHLMAN S/D BLK 4 LOTS 5 AND 6
Property Tax ID #. 3403-805-0069-000-8
Lot No.
Site Plan Name: Block No.
Project Name: CARMICHAEUREROOF
Setbacks Front Back: Right Side: Left Side:
11
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR 5V CRIMP METAL PANEL
ROOF SYSTEM OVER 30# FELT UNDERLAYMENT.
1_1HVAC
Electric
Total Sq. Ft of Construction: 2,700
C I bst of Construction:$ 8,850
1
F]Windows/Doors
F]Plumbing FISprinklers Generator W1 Roof Roof pitch
S Ft of First Floor:
Utilities'.In Sewer []Septic Building Height: 1 STORY
S 0�' Al
gr
CONTRACTOR'
Name DONNA CARMICHAEL
Name: KYLE WHITE
Address: 337 NOTLEM DR
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
1
Zip Code. 34982 Fax:
City: FORT PIERCE State: FL
Phone No. 772-882-8334
Zip Code: 34982 Fax: 772-468-8397
E-Mail:
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)
1i
State or County License: CCC1325895
It, value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQNSTR IP; 0 fLIEN
LAW INFOM11,RMATION
DESIGNER/ENGINEER: _
of Applicable
MORTGAGE COMPANY:
_L—.Wt Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
of Applicable
BONDING COMPANY:
_ of Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
II
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.
Inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
inl 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 attorney before
commencing wow rmcording vour Notice of Commencement. __-O' A
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
11
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
IThe forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 20TH day of JUNE
20_ by
this 20TH day of JUNE , 20 by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
I!Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
;Type of Identification
Type of Identification
�Produced
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(Signature of Notary Public- State of F�'ohir_)z °� o
(Sighature of Notary Public- State of Florida) N
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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