HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONTotal Sq. Ft of Construction: 3600 S . Ft. of First Floor: 1712
Cost of Construction: $ 14,700 Utilities: Sewer ❑ Septic Building Height: 1 ST
ALL APPLICABLE INFO MU���S???T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:=�^� I Permit Number:
e - RECEIVED
Building Permit Application MAR 0 8 1010
Planning and Development Services
Permitting
Building and Code Regulation Division St. Lucie County
ty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx -
PERMIT APPLICATION FOR: Roof SCANNED
By
PROPOSED IMPROVEMENTIOCATION: St. Lucia *
Address: 5015 PINETREE DRIVE
Legal Description: INDIAN RIVER ESTATES-UNIT1-BLK 2 LOTS 36 AND 37
Property Tax ID #: 3402-602-0079-000-5
Site Plan Name:
Project Name: MARTIN/REROOF SHED
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF -WORK: III
TEAR OFF SHINGLE, RENAIL DECK. INSTALL 5V CRIMP METAL (FL# 17443.1) ROOF SYSTEM
OVER OWENS CORNING WEATHERLOCK TILE AND METAL UNDERLAYMENT (FL# 9777.7) .
ing ❑_Shutters ❑Windows/Doors
ors ❑ Generator W1 Roof 6/12 Roof pitch
ORY
OWNER/LESSEE:
CONTRACTOR:
Name JAMES MARTIN
Name: KYLE WHITE
Address: 5015 PINETREE DRIVE
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 770-464.7413
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772468-8397
Phone No. 772466-4040
E-Mail:
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.
Utbik31%Itn/tN1UiivttK:-NotAppllcable MORTGAGE COMPANY: tApplicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: -- Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓Not Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Address:
Zip:
Applicable
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 priorto 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
y p
SignaturekSf Contractor/License Holder
Si nat re of Owner/ Lessee/Contractor as Agent for Owner
�
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1sT day of MARCH 20 /9 by
-t—.'
this 1sT day of MARCH 20%� by
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
2o"V Ae" VALERIEJ DEL
MY COMMISSION # GG
Q �' EXPIRES: May 14,
eaY
(Sign re of Not ryPublic-S `V%'EYfWda I VALERIE J DELGADO
(Signs eof Notary ublic-Sta of F10'ffd6J Bonded Tluu Budget NutN)
MY COMM" ON # GG
Commission No. GG063270 �� odSea&)(PiRES: May 14, 2021
Commission No. 00063270 (Seal)
��FOF Flip Banded TIIIII Budget Nolafy
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17