HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,J��_ Permit Number: NO
SCANNED
- - • - -" .RECEIVED BY
Building Permit Application St. Lucie Count
Planning and Development Services MAR 0 8 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ReTi&61L trg9nNX
PERMIT APPLICATION FOR: Roof
Address: 8706 COQUINA AVENUE
Legal Description: LAKEWOOD PARK -UNIT 8-BLK 100 LOT 4
Property Tax ID #: 1301-608-0270-000-6
Site Plan Name:
Project Name: WHISTNER/REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION -OF WORK
TEAR OFF SHINGLE, RENAIL DECK. INSTALL JAT 1" EDGE LOK STANDING SEAM METAL
(FL#18-1023.17) ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL
(FL#9777.7) SELF- ADHERED UNDERLAYMENT.
11HVAC
Gas Tank
Gas Piping
U
shutters
❑
Windows/Doors
Electric
0
Plumbing
Sprinklers
El
Generator
Roof
5/12
Roof pitch
Total Sq. Ft of Construction: 3700
Cost of Construction: $ 19-800
S Ft. of First Floor: 2170
Utilities: Sewer 0 Septic
Building Height: 1 STORY
.C!_WNER/LESSEE:
CONTRACLOR:.
•" M1
Name PATRICIA O'CONNELL —
Name: KYLE WHITE
Address:8706 COQUINA AVE
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FIL
Zip Code: 34951 Fax:
Phone No.772.528.3782
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 7724664040
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.
$0P.QtE1VIEt1LTALCON5T2U�TJOIV LIELV CA�tV:INFORMATIQiV°
a ... :; _ r
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
!tlotApplicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ of Applicable
BONDING COMPANY:
Name:
Not 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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordine vour Notice of Commencement. a
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Signatur o Owner Lessee/Contractor as Agent for Owner
-
Signattelef C tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLucIE
COUNTY OF ST WCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1ST day of MARCH , 20� by,
Lh15 1ST day Of MARCH 2619 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 VALERIEJ DELG
ype of Identification
trx.Fue
Produced =° ' �" MY COMMISSION A GG
O uced tirR� VALERIE J DELGADO
EXPIRES: May 14,
MY COMMISSION # GG 063
21 i
F�°p Bonded TFw Budget Nola
Sere �sr p EXPIRES: May 14, 2021
9E
���OF
L�L�(JW
=e+.° Bonded Thlu Budgel Notary
(Signature of N tary Public- 9tate of Florida )
(Siddature of Notary Public - St a of Florida )
Commission No. GG063270 (Seal)
Commission No. GG063270 (Seal)
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Rev.8/2/17