HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DiI e: SCANNedrmit Number:
1�
BY
inglawk
Building Permit Application RECEIVED
Planning and Development Services
BI, ding and Code Regulation Division SEF 0 b
2300 Virginia Avenue, Fort Pierce FL 34982 per lttln Department
P,h6ne: (772) 462-1553 Fax: (772) 462-1578 Commercial ResidentlarO 1- county
PERMIT APPLICATION FOR: Roof
PROPOSED IMPR01/EMENT LOCA�tON A - all
- -
a
kddkss: 1936 WYOMING AVENUE, FORT PIERCE
Lega' Description: ORANGE BLOSSOM ESTATES FIRST ADDN BLK 1 LOT 18 - LESS N 5 FT OF E 67.58 FT AND LESS
N 7.,§ FT OF W 45 FT
Proplerty Tax ID #: 2421-602-0018-000-6 Lot No.
Site Illan Name- Block No.
Prof�'I t Name: JONES/REROOF
Setbacks Front Back: Right Side: Left Side:
TEA OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER SELF -ADHERED UNDERLAYMENT.
Additional work to be nertormed under this permit— check all apply:
[11 HVAC ❑ Gas Tank Gas Piping Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator W1 Roof 4�12 Roof pitch
Totall ISq. Ft of Construction: 3,700 S . Ft. of First Floor: 4,230
Cost I� 1�1 Construction: $ 13,900 Utilities:cnSewer Septic Building Height: 1 STORY
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. ,s.'.;., , �`W 6 _✓�. _, >.: xa ,+G � ."r'.hs:� ,tv v�.. r! ..�,� �.�a 't;�`}-r� , �" , .. - F . ,�'` . ' � . r: , . , .
En
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Namell EVAN JONES
Addr�Ss: 1936 WYOMING AVE
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
City: IIFORT PIERCE State: FL
Zip dde. 34982 Fax:
Phon JNo. 772-979-4317
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail:
EVAN2216@YAHOO.COM
Fill in I
from t
ee simple Title Holder on next page ( if different
e Owner listed above)
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
If valudilof construction is $2500 or more, a RECORDED Notice of Commencement is required.
IJCTI®N LIEN L�1W INFO
Applicabje
!777-7ty:
MATIO.N:�._ Rof
MORTGAGE COMPANY: of Applicable
Name:
Address:
State:
Zip: Phone
I�,I
City: State:
Zip: Phone:
FEE
Name:
Address:
city:
Zi II�
SIMPLE TITLE HOLDER: _ ke"Not Applicable
BONDING COMPANY: A. Wot Applicable
Name:
Address:
City:
Phone:
Zip: Phone:
OER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
WI ify 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
whic is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
strucure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In co'Insideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acdlordance 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,
accesisory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
VI
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imprj''ppvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspe i� If you intend to obtain financing, consult with lender or an attorney before
111
rnmmanrina %A/nrLeFWrdMina vnIIr Nntira of rnmmanramant
II
/
Sigrature of Owner/ Lessee/Contractor as Agent for Owner
II
Signature o Contractor/License Holder
ST fi TE OF FLORIDA
STATE OF FLORIDA
COtJNTY OF STLUCIE
i
COUNTY OF STLUCIE
The instrument was acknowledge efore me
The forgoing instrument was acknowledged before me
jforgoing
this fi5TH day of SEPTEMBER ZQ 1eby
II
this 5TH day of SEPTEMBER 20j& by
KYL 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
Typ;�
of Identification
Type of Identification
Pro
uced
Produced
" °�0��\6101lP1190lOde�o/
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(Sig
ature of Notary Pub ic- State ofloridyp, tuber �NA9
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(Si nature of Notary Publ' - State of Florida) Azrn
CO
ISSIOn No. FF936050 e (Seal)®o �: =�
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Commission No. FF936050 (Seal)
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Rev. 8%2/17 I