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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL I PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Da 'e: Permit Number: I�� 1 • ©��� --b-61 BY ��°Bu�l�dng Permit Application R�E�° "ning Development Services JUL 06 1018 Building and Code Regulation Division Permitting Department 23C b Virginia Avenue, Fort Pierce FL 34982 ;t Luc ounty Mine: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PE MIT, APPLICATION FOR: Roof PRO,PO`SED"INfPRQVEMENT L000ATION Address: 7801 HOLOPAW AVENUE, FORT PIERCE Lega Description: LAKEWOOD PARK - UNIT 5 - BLK 45 LOT 17 PropArty Tax ID #: 1301-605-0139-000-7 Lot No. Site P Ian Name: Block No. Proj t Name: FLORES/REROOF Setbacks Front Back: Right Side: Left Side: DEA^, �f?��DECRIPTIONyOF FOR �, r TEAOj OFF SHINGLE, RE —NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT. CQ:NSTRUCTION INFORMATI Add i iona wor to eeje orme under tis —checkpermit a apply: HVAC L_I Gas Tank ❑Gas Piping In _ Shutters O Windows/Doors Electric Q Plumbing Sprinklers E Generator W1 Roof 5/12 Roof pitch Total q. Ft of Construction: 2,500 S . Ft. of First Floor: 1,450 Cost f Construction: $ 8,700 UtilitieslnSewer Septic Building Height: 1 STORY wtOW en ,`A. "� ^: 6 ER _ ALESSEE ° " n ` c .-+'ua' 4 aim.@`4'•+ ;. aL_ CQNTRAC`TOR r a6 m, Nam Addr City: Zip C� Phon E-M Fill in from JUAN FLORES Name: KYLE WHITE Company: J.A. TAYLOR ROOFING INC Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 ss: 7801 HOLOPAW AVE FORT PIERCE State: FL de: 34951, " Fax: No. 772-801-3543 !I: HOLOPAW77@AOL.COM fee simple Title Holder on next page ( if different he Owner listed above) E-Mail: NADINE@JATAYLORROOFING.COM State or County License: CCC1325895 IT vaiue oT construction is sz5uu or more, a RECORDED Notice of Commencement is required. 1. 1 DI 1GNER/ENGINEER: t/Not Applicable MORTGAGE COMPANY: I t Applicable N me: Name: A4 Iress: Address: `Ci State: City: State: Zi Phone Zip: Phone: FEiE SIMPLE TITLE HOLDER: _lZlqot Applicable BONDING COMPANY: of Applicable N me: Name: A dress: Address: Ci �: City: Zi Phone: Zip: Phone: OIA 4ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I ce , ify that no work or installation has commenced prior to the issuance of a permit. St. L' cie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure whi hh Is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such stru lure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In c sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in a ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The ollowirig 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 WA INING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for .imp rovements to your opVe�-tty. A Notice of Commencement must be recorded and posted n the jobsite bef re the first i ion.,l�you intend to obtain financing, consult with lender a r ey before ro manrina r nr rarnz�llna vnur Nntira of Cnmmanramant_ Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder ST E OF FLORIDA STATE OF FLORIDA CC UNTY OF STLUCIE COUNTY OF STLUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 27TH day of JUNE 20_ by this 27TH day of JUNE , 20_ by LE WHITE KYLE WHITE Name of person making statement Name of person making statement Personally Known xx OR Produced IdeVt'f�ie i�''arifd s.,, Personally Known xx OR Produced Identification Ty a of Identification �b��>���\N °lo`AN%',Va/s ��oh1bslos.,q%� Type of identification Produced Pr duced ;' 0W 9 V eae��pjf�lFrVItiN°a°'��ry (S nature of Notary Public -State of Flotitla)�"eo s o°o� (Sig lure of Notary Public -State of Fl:0.ride)®Q,°a Co' mission No. FF936050'E�]�(/( °°TA�EO #FF936050 ° *! Commission No. FF936050 ®� dad lhN, s O REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DI E RO EIVED DATE z C MPLETED , Lev