HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
>PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Nhn
SCANNED
y f"Il _ RECEIVED
Building Permit ApplicationV: il-i01@Q0_fl)j(/ ,i 3 1018
ing and Development Services
rig and Code Regulation Division Permitting Department
Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PE11
�'MIT
APPLICATION FOR: Roof
PROPfJSED
IM'R®VEM
MUM
ENT�OCATIN� WWW"0 r 1.
Addr ss: 7205 SEBASTIAN ROAD, FORT PIERCE
Leea IlDescription: LAKEWOOD APRK - UNIT 12 - BILK 162 LOT 18
Prop ' rty Tax ID #: I OU 1-014-U I DL-000-L
Site Ilan Name:
Proj ct Name' MCBRIDE /REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
TEAK OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL
PANEL ROOF SYSTEM OVER SELF -ADHERED UNDERLAYMENT.
Add tional work to be ertormed under this permit— check all apply:
11 HVAC E] Gas Tank E]Gas Piping _ Shutters Windows/Doors
Electric ElPlumbing Sprinklers Generator W1 Roof 3�12 Roof pitch
Tota Sq. Ft of Construction: 3,500 S Ft. of First Floor: 2,391
Cost of Construction: $ 14,750 Utilities: Sewer Septic Building Height: 1 STORY
O .NER/LESSEE �ttCONTRACTOR
Name DEBORAH MCBRIDE
Name: KYLE WHITE
Add ess: 4310 SEMINOLE RD
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FIL
FORT PIERCE FL
City: State:
Zip 34951 Fax:
I;ode:
Pho lle No.
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-MIS il: MCBRIDEDEBORAH@BELLSOUTH.NET
Fill i fee simple Title Holder on next page ( if different
E-Mail: NADINE@JATAYLORROOFING.COM
I
from the Owner listed above)
State or County License: CCC1325895
If valpe of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION
I
LIEN LAWINFORMATION L a%i in, ri, .
�_.
DE
NGNER/ENGINEER: of Applicable
MORTGAGE COMPANY: (__-Rot Applicable)
Na
e:
Name:
Jress:
Ad
Address:
Cit
City: State.
State:
Zipj
Phone
Zip: Phone: i
FE
SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: ot'Applicable
Na
ml e:
Name: ;I
ress:
Ad
City:
Zip.
Address:
City:
Phone:
Zip: Phone:
OW q ER/ 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. Lt cie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure '
whit is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
strut ,ure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In co isideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work ;
in ac ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The f Ilowing building permit applications are exempt from undergoing a full concurrent review: room additions;
i PP P g g Y
acce sory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-resitlential l se I I
� 1; I • :: ,;;; i ijl i, ;
WAI tNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying tviriceor , I
impt`,ovements to your_property. A Notice of Commencement must be recorded and posted hithe jb, site' 11
before the first ins to you intend to obtain financing, consult with lender or a orn : ! befib'r'e I I !,1 it
ref ry v. , {
com�mencine wet<or reooy ine vour Notice of Commencement. // /7 I!. i . i i' I J i
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Sig iature of Owner/ Lessee/Contractor as Agent for Owner
Signature o Contractor License Holder!
STATE OF FLORIDA
II 3 j'i I t i
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
Thq'�
forgoing instrument was acknowledged fore me
I
The forgoing instrument was acknowledge , beforel me'
this111TH day of SEPTEMBER 20
this »TH day of SEPTEMBER 20 by i
KYl E WHITE
KYLE WHITE
Name of person making statement;
Name of person making statement
Personally
Known xx OR Produced Identification
Personally Known xx OR Produced IdepAllf� (onab°:N'
Type
of Identification
Type of Identification
Pro
uced
Produced
\XI�°av, 9���rPo
p
: i F93605)
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nature of Notary Public- State of lfnrid°",envber is Cf�°°
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(Si ature of Notary Public- State of Floridan
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mission No. FF_936050 p, Seal,_ �A® m
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936050
Commission No. FF936050
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REVIEWS
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DATE
COMPLETED
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Rev. 8%2/17