HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAR rFjOJ M T BE COMPLETED FOR APPLICATION TO BE ACCEPTED y� ^
Date: I `' v Permit Numbe �y �+ (9
SCANNED
IV
BY
LAIML01011116M FW7
St. Lucia countv
Building Permit Application AUG 3 0 2018
Plannin and Development Services
Building and Code Regulation Division Permitting Department
2300 Vi'~ginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone,'(772) 462-1553 Fax: (772) 462-1578 Commercial R ti=a
11
PERMIT
APPLICATION FOR: Roof =!
PROPOSED
-IMPROVEMENT LOCATION:
Address:Lrit)tion:
2977 MCNEIL ROAD, FORT PIERCE
Lem De 19 35 40 FROM SE COR OF SW 1/4 RUN N 42.5 FT, TH W 33 FT FOR POB, TH CONT W 125 FT,
TH N 166.2 FT, TH E 125 FT, TH S 166.2 FT TO POB
Property III ax ID #: 2419-344-0020-000-5 Lot No.
Site Plan Name: Block No.
I
Project N, ame: PILOTO/REROOF
Setbacks, Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR O'FF SHINGLE, RE -NAIL DECK. INSTALL PETERSEN 5V CRIMP METAL PANEL ROOF
II
SYSTEM OVER 30# FELT UNSERLAYMENT.
CONSTRUCTION 10FORMATION:
Additio a wor to e e orme under this permit — check a apply:
❑_ H� C Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing [:] Sprinklers Generator Ri Roof 2 Roof pitch
Total Sq. IFt of Construction: 3,800
Cost of Clol nstruction: $ 14,420
S . Ft. of First Floor: 3,104
Utilities:l]Sewer Septic Building Height: 1 STORY
OWNERAESSEE:
CONTRACTOR:
Name L'WZ
Address:1]
City: FORT
Zip Cod
Phone N!
E-Mail:
Fill in fe I�
from th i
QUINTERO & JOHNNY PILOTO
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC 1325895
2977 McNEIL RD
PIERCE State: _
11 34981 Fax:
772-538-3500
ILOTOJOHNNY@GMAIL.COM
simple Title Holder on next page ( if different
caner listed above)
If value of ll onstruction is $2500 or more, a RECORDED Notice of Commencement is required.
0
DESIGNER/ENGINEER: R1 Not Applicable MORTGAGE COMPANY: L�-Not Applicable
Name: � Name:
Address: Address:
City: State: City: State:
Zip: I'I Phone Zip: Phone:
I I
FEE SIMPLE TITLE HOLDER: ✓Not Applicable BONDING COMPANY: ✓Not Applicable
Namedii Name:
Addres''s: Address:
City: it City:
Zip: III Phone: Zip: Phone:
I
OWNERI% CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify t II at 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 ir5' conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure 1 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 folio ling 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
Inprov�.; nents to your property. A Notice of Commencement must be recorded and posted on the jobsite
efore the first inspeC7n. If you intend to obtain financing, consult with lender or a f ney before
mmanrino wnrk:vfirPArdina vour Notice of Commencement. /
Signatur,i of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUN7 OFSTLUCIE
COUNTY OF STLUCIE
The forgoing Instrument was acknowledged before me
The forgoing instrument was acknowledged before me
27TH AUGUST (Tby
this 27TH day of AUGUST , 20 kTby
this day of 20
KYLE Wh ITE
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�iaaa+an!!!ll,+6sy®o
Type of Identification
Produc
ld ��''®gip\NE r�R�Fs9''`s,
Produced®m�1a1191!ll9POp���
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is
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`��•,�P�\N SSIONA�`c�
NF
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(Si nat
re of Notary Public- State of Flg1da-.) #FF 936050 ;
= Sig ature of Notary Public- State of Ffliridgy
Commission
oe
6� Bon�za�b � o
No. FF9360050 {>� �dr^'�NOt3ry5 „' F 0
d�/',ed����PlCfl11
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Commission No. FF936050 r2�SeaIjFF936050 oQQ`
190 o����ae
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE 11
RECEIVED
ID
DATE IJ
COMPLETED
Rev. 8/2/17