HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: Uo-Lown
Building Permit Application 09Zuce
Planning and Development Services
®P9�¢�
Building and Code Regulation Division
2306 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
FROPOSED�IM'PROVEMENT LOCATIO'.N
Address: 8499 BROMELIAD COURT, PORT ST LUCIE
Legal Description: SAVANNA CLUB - PLAT TWO - BLK 20 LOT 13
Property Tax ID #: 3425-702-0207-000-0
Site Plan Name:
Project Name: ZANETTA/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 OWENS CORNING WEATHERLOCK TILE & METAL
SELF? ADHERED UNDERLAYMENT. REPLACE ONE SKYLIGHT
0Electric ❑ Plumbing
Total Sq. Ft of Construction: 1,600
Cost of Construction: $ 8,825
D V, ... [n FF.y.
Gas Piping _ Shutters ❑ Windows/Doors
❑ Sprinklers Generator W1 Roof 3�12 Roof pitch
S Ft. of First Floor: 1,426
Utilities:Sewer Septic Building Height: 1 STORY
OWNER/LESSEE
nfi, l ,q#�q+}n k-n'l`�
CONTRACTOR
h VaA i 1 un"m:^ tll,c-
I
Name! RITaZANETTA
Name: KYLE WHITE
Address: 8499 BROMELIAD CT
Company: J.A. TAYLOR ROOFING INC
City: ,PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phonel No. 772-285-5732
E-Mail:
!
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Address:. 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
NADINE JATAYLORROOFING.COM
E-Mail: @
State or County License: CCC1325895
If valuer, of construction is 52500 or more, a RECORDED Notice of Commencement is required.
.SUPPLEMMTAL C NSTRUCTIa01�.NEmN LAW bI,NFORMATIO,NLa
DESIGNER/ENGINEER: L^ot Applicable
Name:
MORTGAGE COMPANY: _1,,�-N"ot Applicable
Name:
Address:
Address:
City; State:
Zip:Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable
Name:
Address:
BONDING COMPANY: _ of Applicable
Name:
Address:
Cityj
Zip: Phone:
City:
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 is 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
structure. 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 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
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectti I intend to obtain financing, consult with lender or an attorney before
commencing wor eco ij vour Notice of Commencement.
Signature o caner/ 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 efore me
The forgoing instrument was acknowledged hpfore me
5TH day OCTOBER 20 by
this 5�111 day of OCTOBER 2CL by
this of
I
KYLE,WHITE e�laiiillDdfd e .
KYLE WHITE y,; oS34ilfildd.e'
Name of person making stateme^Q��1f.h�Al
o
Name of person making statemer�fi®�'°'��� MADVf�Fsq';�i�
Personally Known xx OR Produce d;lclentif�atiii.tr`°® �f
J%
Personally Known xx OR Produce�.JJ
Type of Identification cO�wbPT 152 9
g c� _
Type of Identification �`.' oi��ber 1s 0�_
.,� �0 9F
Produced �� `�
a�.iFF
�� m
-: Produced o N o
936050 0 0
4
(Signature of Notary Public- State of Flo ridbl',Pa,§J ^' a6 c� �\ad
(Ignature of Notary Public -State of Florid'a�
s�'ddDDD9611d10�
Commission No. FF936050 (Seal)
Commission No. FF936050 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATEI
_F
COMPLETED
Rev. 8/2/17