HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r 0 (O�
Date: _ '1� Permit Number: 1 CV�xVI
itECE1VED
Building Permit Application MAR 0 S Iola
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Roof
Address: 897 WOODLANDS DRIVE
Legal Description: THE WOODLANDS S/D LOT 16
Property Tax ID #: 3415-701-0016-000-0
Site Plan Name:
Project Name: AMARAL/REROOF
Setbacks Front Back:
Right Side: Left Side:
permitting Department GC''6 i- 1
St. Lucie County 00G
Residential xx O�
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL JAT 5V CRIMP METAL (FL#17443.1) ROOF
SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL (FL#9777.7) SELF- ADHERED
UNDERLAYMENT.
CONSTRUCTION INFORMATION:
IUona wor totle
erTormea un
er t Is permit— check
a
apply
11HVAC
Gas Tank
❑Gas Piping
_Shutters
❑Windows/Doors
11 Electric
0 Plumbing
Sprinklers
1:1 Generator
RI Roof, 6/12 Roof pitch
Total Sq. Ft of Construction: 4000
SpI —F—t.�
of First Floor: 2030
Cost of Construction:
$ 16,900
Utilities:
]Sewer 1:1Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR: ,
Name ANIBAL&TERESA AMARAL
Name: KYLEWHITE
Address: 897 WOODLANDS DRIVE
Company: J.A. TAYLOR ROOFING INC
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No.772.979.6100
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Nat Applicable
Name:
MORTGAGE COMPANY:
Name:
—� -/ Not Applicable
Address:
Address:
City: State: _
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
BONDING COMPANY:
Name:
_ of 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 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 y4wr property. A Notice of Commencement must be recorded and posted on the jobsite
before the firs ' ecticxl. If you intend to obtain financing, consult with le r or aA attorney before
commencin rk or r ordine vour Notice of Commencement.
Sigfiature of Owner/ Lessee/Contractor as Agent for Owner
Signatute of Contractor icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledgeA before me
The forgoing instrument was acknowledged before me
this +sT day of �cH 20 by
this SST day of maxcH , 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
(SigWature of Notary Public -State of Florida)
(SKdnature of Notary Public- Stat Florida )
aogy?os, VALERIE J DELGADO
Commission No. 00063270 Z,?ty P&a,� (SUAIJ:RIE J DELGADO
Commission No. cc osaz7o ' o M( MISSION#GG 063270
My COMMISSION # GG 063270
mr g EXPIRES: May 14, 2021
mr EXPIRES: May 14,2021
�teOFF �°Q Bonded Thm Budget Notary Services
P�
fF
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17