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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL'�APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED NA Date: MEDPermit Number: By 61. LW@ Cb9fity RECEIVED Building Permit Application JUL o 3 2018 Planning and Development Services Permitting Department Bu��ding and Code Regulation Division St. Lucie county 2300 Virginia Avenue, Fort Pierce FL 34982 Pl ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX I PE�j MITAPPLICATION FOR: Roof i'R{JPOSED l PRC�?VfM'ENT LaCATIaN: Addless: 5809 SEAGRAPE DRIVE, FORT PIERCE. Legal Description: INDIAN RIVER ESTQATES - UNIT 08 - BLK 21 LOT 40 P S P rty Tax ID #: an Name: _ :t Name: cks Front 3402-609-0033-000-2 ALVAREZ/REROOF Back: Right Side: Left Side: Lot No._ Block No. TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR 5V CRIMP METAL PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF- ADHERED UNDERLAYMENT. Aaaitionai worKto De errormea unaertnis permit—cnecK ail apply: 1 HVAC _ Gas Tank []Gas Piping M_ Shutters ❑ Windows/Doors Electric ❑ Plumbing ❑Sprinklers ❑Generator Fv—(] Roof 5/12 Roof pitch Toth I Sq. Ft of Construction: 3,100 S . Ft. of First Floor: 1,200 Cosh I of Construction: $ 11,200 Utilities: L_ISewer []Septic Building Height: 1 STORY I O'�N��R/LESS =E CC��ITRA►CTOR, Na LI Ad I City: Zip, Ph I"ne E-MI Fill in frog a ESTHER & JUAN ALVAREZ Name: KYLE WHITE ress: 5809 SEAGRAPE DR Company: J.A. TAYLOR ROOFING INC Address: 302 MELTON DRIVE FORT PIERCE State: Code: 34982 Fax: No. 772-801-4036 ail: City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 fee simple Title Holder on next page (if different the Owner listed above) E-Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC1325895 If va,,lue of construction is $2500 or more, a RECORDED Notice of Commencement is required. S PPLEMENTAI. CONSTRUCTIQN LIEN lA1N I'MF©RMATIO DES IGNER/ENGINEER: of Applicable Ni rne: Address: MORTGAGE COMPANY: _L.,Pdot Applicable Name: Address: Ci Zi ii State: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: of Applicable Name: BONDING COMPANY: of Applicable Name: Address: City: Address: City: Zips: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I ce �rtify that no work or installation has commenced prior to the issuance of a permit. St. Lilcie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict 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 co'I sideration 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 bef"re the first inspe n. If you intend to obtain financing, consult with lene r dan rney before co mencing wpAv& rnording your Notice of Commencement. Sig" ature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STIA 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 thl 25TH day of JUNE 20_ by this 25TH day of JUNE 20_ by LE WHITE KYLE WHITE Name of person making statement Name of person making statement Personally Type Known xx OR Produced Identification Identification Personally Known xx OR Produced Identification Type of Identification Produced of ,}}tr,4?6?illllla! Produced °`\N R,,c. o `®x,�Q\�l�MgNRFs�°a,.�d�o - �P hUssloN EYo °, r sslo e °o��h�} is % ° 2f 15, 20q�,N°° ° er (Si nature of Notary Public- State of Flo t {a; Z `�°"p o �sigrAture of Notary Public- St to of Floridal Co FF 936050 $ Bonded�h�:' mission No. (°° �d4�tNotaH`°'���,COmmI5sl0n N0. FF936050�ra�tNotaNso;'°��;�� r ��866 STPTo���`�� /ll?iiii44}}} 96i14 ie }�O��m REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE Ii COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED D 11 TE y� COMPLETED `J Rev.18/2/17