HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: D'.
,S.sT jv`_'si'^•_'°."'=-;5 RECEIVED
�12
DEC 11 1018
Building Permit Application PermittingDepartment
PlanningandDevelo Development County
P St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof 11
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Address: 7503 MIRAMAR AVENUE
Legal Description: LAKEWOOD PARK - UNIT 1 - BLK 5 - LOT 24
Property Tax ID #: 1301-601-0070-000 -CONFIDENTIAL
Site Plan Name:
Project Name: EFREM/REROOF
Setbacks Front Back:
I VETAILEDVESC,RIPTION10f WORK:
Right Side: Left Side:
St.
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER 30# FELT UNDERLAYMENT.
L�CONST IJCTIOVANFORM-ATICIN
WHVAC LJ Gas Tank
11 Electric Plumbing
Total Sq. Ftof Construction: 2.900
Cost of Construction: $ 10,860
3CI InR—LnecK do
Sas Piping
_Shutters
appry:
❑
Windows/Doors
Sprinklers
Generator
Roof
5/12
Roof pitch
S Ft. of First Floor: 2.500
Utilities: SewerDSeptic Building Height: 1 STORY
'OWNiiVTESSEE;" ��,' ��
„CONITRACiiOR�,,:,
Name NEAL EFREM
Name: KYLE WHITE
Address: 7503 MIRAMAR AVE
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No.1772-370-1989
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: EFREMNEAL@HOTMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC1325895
., VOIUC W1 wu511 uumn is ;lczuu or more, a Ktwnunu Notice of commencement is required.
SUPPLEMENTAL.ONs-TRUCT4(0N,IL'IEN IL.AW 1INFQ,RNI"ATIQN;
MORTGAGE COMPANY: tiPlot Applicable
Address: Address:
City: State: City: State: _
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: "ot Applicable BONDING COMPANY: Not Applicable
Address:
City:
Zip: Phone:
Address:
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 pro erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspe qq If you intend to obtain financing, consult with lendellor� attorney before
commencing work r r cbrdine vour Notice of Commencement. I --
Signature o wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF snuaE
COUNTY OF STLUC1E
The forgoing Instrument was acknowledgedbefore me
The forgoing instrument was acknowledged before me
this 5TH day of DECEMBER 20I9 by
this 5TH day of DECEMBER ,20 f8 by
KYLE WHITE
KYLE WHITE
Name of person making statem (tt1111111111r111/
Name of person making statement
Personally lKnown OR ProdL�M` i >>>i{�
Personally Known xx OR Produced Id `Q'ttjfMh4lH rr//
Type of Identification
co¢meBr15,2Ai9°=
Type of Identification \ ��ADllvt 9F 1
Produced
Produced /•
_
vyG�emhar
of Nota Public- State o'F, g7dr';aoyse;:e`
(Signature ry � 1p 4F\��
(Sig Lure of Notary Public- State of Flgid��31nN
•°ETASB�
COmmI5510h NO. FF936050 11111:\\\\\
Commission No. FF936050
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Rev. 8/2/17