HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application FEB 20 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucle County
2300 Virginia Avenue, FortPierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Roof
Address. 601 GREGORY STREET, FORT PIERCE
Legal Description: INDIAN RIVER ESTATES -UNIT 04 - BLK 37 LOT 21
Property Tax ID #:
Site Plan Name: _
3402-605-0111-000-1
Project Name: STROUSE/REROOF
Setbacks Front Back:
Right Side: Left Side:
Cie County
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF -
ADHERED LINDERLAYMENT.
LJHVAC II Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2,300
Cost of Construction: $ 8,350
nit—uiecnau dppiy:
Piping Shutters ❑Windows/Doors
ers Generator 14 Roof 4/12 Roof pitch
SaI—. F�t. of First Floor: 1,270
Utilities: Sewer 0Septic Building Height: 1 STORY
OWNERJLESSEE
P . . ,.. .
CONTRACTOAr
Rt µ`
Name FREDERICK STROUSE
Name: KYLEWHITE
Address: 601 GREGORY ST
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE
Zip Code: 34982 Fax:
_Phone No 772-370-1881
State: FL
_
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 _F_ax_:_ 772-468-8397
Phone No. 772-466-4040
E-Mail: PONDMAN052@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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r, ,
SUPP EMEIVTAL ONSTRU IONtLIENtAW1NFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_�11&t Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
BONDING COMPANY:
Name:
_ cif 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 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 inspegtion. If you intend to obtain financing, consult withender or attorney before
comment wor ecadine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/0-cMTs16
Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 6TLUCIE
COUNTYOF 6TLUOIE
The forgoing instrument was acknowledge me
The forgoing instrument was
acknowledge��7�tI'�efore me
this ISTH day of FEBRUARY
, 2Q_lJ by
this 16TH day of FEBUARY 20-�—F M by
KYLE WHITE
KYLE WHITE
Name of person making stat ; MpIyRFF°��//'�i`�,
Name of person making
statement
Personally Known xx OR Prod rA st �a1 v
Personally Known xx
OR Produced IdeptiGNflu tt��
Type of Identification
e•o�'ber 15 �a�•.
Type of Identification
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Produced
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Commission No.
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW_
REVIEW
REVIEW_
REVIEW
DATE
_
RECEIVED
DATE
r
COMPLETED
1
Rev.8/2/17