HomeMy WebLinkAboutBUILDING PERMIT APPLICATION}
ALL
PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
(� ' �• R Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services O C T 0 2 CUM
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial T Residential XX
PERMIT APPLICATION FOR: Roof
�:"*PROPOSED IMPROVEIVIENT.LOCATIO.N.
Addre358 ASHLEY STREET, FORT PIERCE�All�r'��gpp
lss: ti
Legal Description: REPLAT OF PALM GARDENS BLK 6 LOT 10
Propelrty Tax ID #: 3403-80270078-000-5 Lot No.
Site Plan Name: Block No.
Project Name: GARCIA/REROOF
Setbacks Front Back: Right Side: Left Side:
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5VCRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
SELFLADHERED UNDERLAYMENT
O'Electric 0 Plumbing
Total S q. Ft of Construction: 1,800
Cost of Construction: $ 7,450
tnis permit — cnecK aii apply:
Gas Piping _ Shutters Windows/Doors
Sprinklers Generator Roof 5/12 Roof pitch
Sq. Ft. of First Floor: 1,196
Utilities:Sewer Septic Building Height: 1 STORY
OWNER/LESSEE x
CONTRACTOR`&
Name; VICTOR GARCIA & MARISOL GARCIA
Name: KYLE WHITE
Address: 358 ASHLEY ST
Company: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 786-444-2865
Zip Code: 34982 Fax: 772-468-8397
E-Mail: LAMAGAGARCIA04@GMAIL.COM
Phone No. 772-466-4040
Fill in fee simple Title Holder on next page ( if different
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
from ti he Owner listed above)
If value) of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LLEN LAW �INIFORMATION
DESIGNER/ENGINEER: _Not Applicable
Nang e:
MORTGAGE COMPANY: Applicable
Name:
Address:
Address:
City: State:
Zip:I Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
Address:
City
BONDING COMPANY: __L.Dd4t Applicable
Name:
Address:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that 4s granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structuire. 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 accoirdance 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,
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
impr Ivements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectio . If you intend to obtain financing, consult with II der oyrn attorney before
comniencina �re�or�rdina vour Notice of Commencement. // //
Stn�e of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged —before me
this 27TH day of SEPTEMBER 20 by this 27TH day of SEPTEMBER 2Cby
KYLE iWHITE
Name of person making statement
Personally Known xx OR Produced Identl fig %ti'r&Yi ! :,..
Type of Identification oa��`°Q�NE MANqe'°f+;�,
Produced°��sSIoN°° s9 ad°
°00 e�b2r 16
o�A9 °
.�z m N°off
re of Notary Public- State of
Commission No. FF936050
IFFF- 7JVviv °o
v °° �reondad\h5 • C
Q�1q1P If4 NI'-off°.v
KYLE WHITE
Name of person making statemen §:kkkIIIIII N/
Personally Known xx OR Producedjdao�qAciF,o®0�0�
Type of Identification �\\sSlO/yf e
Produced a
36050 o°oQ
(Sigfrature of Notary Public- State of Flo` _'d oarNeta
Commission No. FF936050
REVIIEWS I COUNTER ROEVI W I FRONT ZNINGS REVIEWUPERVISOR I REVIEW I PLANSV EV EWON I S EV EWLE M EGETATIEA E IEWVE
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17