HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'I_:0p�LG Permit Number: V / —0
N91911111 fteftO
Building Permit Application DEC 1'8p018
Planning and Development Services Pe
Build
and Code
on Division
2300iVirg Virginia Avenue, Foart/P'erca FL 34982 s I Lu a Coin�vnt
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: '
Address: 7604 COQUINA AVENUE, FORT PIERCE RV
Legal Description: _ LAKEWOOD PARK- UNIT 7 - BLK 79 LOT 2 St. Lucie County
Property Tax ID #:
Site Plan Name: _
Project Name: MCGOWAN/REROOF
Setbacks Front Back:
1301-607-0223-000-9
DETAILED DESCRIPTION,OF WORK.
Right Side:
Left Side:
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.
LJHVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2,500
Cost of Construction: $ 8,860
x1 um—UICLN mi oPP�y.
Sas Piping _Shutters ❑ Windows/Doors
Sprinklers FiGenerator Roof 6/12 Roof pitch
S Ft. of First Floor: 2,100
UtilitiestSewerE]Septic Building Height: 1 STORY
OWNER/LESSEE:' r r:4 ., '..:CONTRACTOR:,
Name KATHLEEN COONEY-McGOWAN
Name: KYLE WHITE
Address: 7604 COQUINAAVE
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-284-1868
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: KCMAC2002@AOL.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
IT value of construction is $ZWU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION'LIEN°LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_LNot Applicable
MORTGAGE COMPANY:
Name:
Lflto—t Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
L.Wot Applicable
BONDING COMPANY:
Name:
LNot Applicable
Address:
Address:
City:
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 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 pr pert . A Notice of Commencement must be recorded and pos d on the jobsite
before the first inspe n. If u intend to obtain financing, consult with lender or torne efore
commencine wor r recordvour Notice of Commencement. //
Signature -'of wner essee/ ontractor as Agent for Owner
Signature of ntractor/License Ho
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STWCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledge efore me
The forgoing instrument was acknowledged before me
this 14TH day of DECEMBER 20�by
this 14TH day of DECEMBER 20�by
KYLE WHITE \\\%%01IIIIII11111Z//
KYLE WHITE
of person on making state�r.�.,•,•e1SSIO/V ,'�
of person making
�e\•�\�pc E M
Personallyame
Known �•
y OR Produced Idp�Tr¢?kf92 f➢
Personallyame
Known Produce
y f
r%
Type of Identification •�
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Type of Identification _� o� bar 1s EI,o•.•
Produced = .fz �.o*=
Produced _
?2S• #FF 936050 .moo`
_ �•� t
�r'•.g eonaeame: 'oe
= o'. QFF936050
(Signature of Notary Public -State of Flori&JRlljjlj\\
(Signat a of Notary Public -State of Flo r(d�,"g���•STAtE��\�\\```
///11111111111N\
Commission No. rrsasoso (Seal)
Commission No. rFsasoso (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW-
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17