HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Dat1e: Permit Number:
►i SCANNED
--, RECEIVED
Building Permit Application
Plating and Development Services SEP 0 6 2018
Bu6ing and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
St l�icie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PEAAIT APPLICATION FOR: Roof
I;
:PR0005ED
IMPRCiVEMENTLOCATION
Address:
5405 LUCILLE LANE, FORT PIERCE
Lega;
Description: LAKEWOOD PARK - UNIT 4 - BLK 25 LOT 9
Prop
rty Tax ID #: 1301-604-0009-000-4 Lot No.
li
Site
Man Name: Block No.
Project
Name: WILKUS/REROOF
Sett,
cks Front Back: Right Side: Left Side:
DETAILED
DESCRIPTION OF WORK @. +
TEAIR
OFF SHINGLE AND ROLL ROOFING, RE -NAIL DECK. INSTALL NEW (22SQ) JA TAYLOR
RO 1
FING EDGE-LOC METAL PANEL ROOF SYSTEM OVER SELF -ADHERED UNDERLAYMENT.
ON'�;'
LAT PORTION INSTALL POLYGLASS MODIFIED BITUMEN (W-66) ROOF SYSTEM (6SQ)
CONSTRU
TIC7NINxFORMAT,ION GsR ,
Additionalwork to a er orme under this permit — check a
11
apply:
�I� HVAC Gas Tank ❑Gas Piping
_
Shutters ❑ Windows/Doors
Lid Electric ❑ Plumbing
Tot III Sq. Ft of Construction: 2,800
Costlof Construction: $ 13,900
�
USprinklers U Generator Z Roof 3�12 Roof pitch
S Ft. of First Floor: 3,300
UtilitiesInSewer Septic Building Height: 1 STORY
0.1I"ER%LESSEE _
CONTRACTOR
Nae
Address:
City
Zip
Pho
E- h11
Fill in
fror[1
THOMAS WILKUS
Name: KYLE WHITE
Company: J.A. TAYLOR ROOFING INC
5405 LUCILLE LN
FORT PIERCE State: FL
ode: 34951 Fax:
a No. 772-464-8051
ail: BUMPYTOM@AOL.COM
Address: 302 MELTON DRIVE
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 value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU
507-RITNI US
M CiTTA 1 LL11 do No 7,§ffiRU "OT, 10 N LIEN LAW 1 N:
E, Ce ZT, MCI N!
DEI
GNER/ENGINEER: -L,"Not Applicable
MORTGAGE COMPANY: _1,.Wot Applicable
Na i
Address:
Ci , t�
l�
e:
Name:
�
State:
Address:
City: State:
Zip:
Phone
Zip: Phone:
FEE
SIMPLE TITLE HOLDER: V"Not Applicable
BONDING COMPANY: ot Applicable
Nar
ie:
Name:
ress:
Address:
Ad d
City.
Zip!'
City:
Phone:
Zip: Phone:
OW,I
I cert I
I ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I that no work or installation has commenced prior to the issuance of a permit.
St. Lude
Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
whl&]isinc
structure.
�o nPlict with any
Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cor
J
sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work