HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED'; `na (�(� (�f
Date: Permit Number: 1 _IE, -C W
RECEIVED
FEB 2 0 IN
Building Permit Application Q,m;tt;nguepartment
Planning and Development Services Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Roof
PROPOSED IMPftOVEA/E#T,LOCATION ' �64
�"
Address: 7402 CITRUS PARK BLVD, FORT PIERCE SCANNED
Legal Description: LAKEWOOD PARK- UNIT 7 - BLK 71 LOTS 9 AND 10 BY
Lucie oun
Property Tax ID #: 1301-607-0037-000-8 Lot No.
Site Plan Name:
Project Name: BENINATE/REROOF
Setbacks Front Back:
Right Side: Left Side:
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM OVER 30# FELT LINDERLAYMENT.
❑HVAC ❑ Gas Tank
❑Electric 0 Plumbing
Total Sq. Ft of Construction: 3,400
Cost of Construction: $ 11,900
Piping ❑_Shutters ❑Windows/Doors
nklers ❑ Generator W1 Roof � Roof pitch
S Ft. of First Floor: 1,456
Utilities:nSewer ❑Septic
Building Height: 1 STORY
;�k0OWNER%LESSEE -
. -.. .�wv .? +iTM.a .`S i -
CONTRACTOR'' r "
r *,a& :.z>. '�'t;. t..w
Name EMANUEL BENINATE
Name: KYLE WHITE
Address: 7402 CITRUS PARK BLVD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
_Rhone No.772-828-2339
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: MARKETING@CLEARBLUEVISION.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 $2500 or more, a RECORDED Notice of Commencement is required.
a_
SUPPLEMENTAlCONSfRI)CTiON IL ENLAIN INFORMATION:
r, "` a-'.i8k-m.'$t'!..,_g.r-'3#" 3Yo".
Tom" "•• -_ �.-: 'P4 `'v ,n'K.a
DESIGNER/ENGINEER:
Name:
_ otApplicable
MORTGAGE COMPANY:
Name:
Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_J,�Vot Applicable
BONDING COMPANY:
Name:
t 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 insWtion. If you intend to obtain financing, consult with lender or �I attorney before
commencing wo,&6r red)rdine vour Notice of Commencement. / �71
Signature of Contractor License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTYOF STLUCIE
The forgoing instrument was acknowledgedefore me
The forgoing instrument was acknowledge before me
this 18TH day of FEBRUARY 20by
this 18TH day of FEBUARY 20 by
KYLE WHITE .,a111 11111
KYLE WHITE iH1111H1!
Name of
Personally Known xxon making
OR Produce e R(g7 "
Name of
Personally Known xx son making Pg sduc mde��p0�`�f R ai/
Type of Identification er 752'Oq% $
Type of Identification o ��,�,aar 16-
Produced
Produced
:�z •®
®.®
kFF 93Go50
• pQ`
kFF 936050
% 9 � N�&� �
i Bordedtti�c>�'�
:�'°ndedln pQ�
(Signature of Notary Public -State of Florid` pU9LIC STPZE����R
(Sign ture o Notary Public- ate of Florid , �9�l�; STAZE�\\���
r//l/111711t1111\\\\
llf11191n8P1\
Commission No. FF936050 (Seal)
Commission No. FF936050 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
_ - -
COUNTER
- -----
REVIEW
REVIEW
REVIEW-
REVIEW
REVIEW ---
REVIEW
---
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17