HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �I
Date: — (1i' Permit Number: Ig0q_0
;J,y RECEIVED SCANNED
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Building Permit Application APR 041018 St. Lucie County
Planning and Development Services Permitting DepaRmcnt
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof
Address:
IMPROVEMENT LOCATION:
3608 TWIN LAKES TERRACE, FORT PIERCE
Legal Description: MONTE CARLO COUNTRY CLUB -UNIT THREE -LOT 41
Property Tax ID tt: 1327-701-0011-000-9
Site Plan Name:
Project Name:
VALLE/REROOF
Setbacks Front Back:
I'DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF TILE, RENAIL DECK. INSTALL NEW BORAL PLANTATION TILE (FL#28328.5) ROOF
SYSTEM OVER BORAL TILE SEAL & CITADEL PLUS (FL#14317.1) SELF- ADHERED
UNDERLAYMENTS.
CONSTRUCTION INFORMATION:
E1HVAC u Gas Tank
.Electric 0 Plumbing
Total Sq. Ft of Construction: 6,000
Cost of Construction: $ 36,500
)ermn—cnecxau
d
apply:
❑
3as Piping
Shutters
Windows/Doors
Sprinklers
1:1
Generator
121
Roof
6/12
Roof pitch
Sq Ft. of First Floor: 4,015
Utilities: Sewer0Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name SUZANNE VALLE
Name: KYLE WHITE
Address: 3608 TWIN LAKES TER
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FIL
Zip Code: 34951 Fax:
Phone No. 772-579-6711
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: FSV2007@MAC.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: J
DESIGNER/ENGINEER: LNot Applicable MORTGAGE COMPANY: Not Applicable
Name
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: :_ of Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 ins n. IfgDu intend to obtain financing, consult with lender or an aJ�brney before
commencine w r recor g vour Notice of Commencement. //
Sig t Owner/ Lessee/Contractor as Agent for Owner
Signa re of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sTLUCIE
COUNTY OF ST LUCIE
The forgoing instrument was acknowledg before me
The forgoing instrument was acknowledged before me
28TH day MARCH 215J3 by
this 2eln day of MARCH 20 by
---���---111
this of
KYLE WHITE
•Itlttlllluf,
KYLE WHITE
Name of person making statemeOl X \kJe, MAN ,r9>>�,,,
Name of person making statem �(tt{Illllllffr�y�
Personally Known xx OR Produ �� ift /.•.
Personally Known xx OR Produce �ild f'�F ���.
�F•S,9
Type of Identification ; �o�xmyar�• a '•, ',
Type of Identification ��` �; SSIOry'`
Produced a' ;g= ?��9N; ='
Produced _ : c,�jembar tS s
may•• OFF936050
��". BonEadl�N. aQ�
Q P�i� ;<FF 936050 •Q.;
(Si ature of Notary Public- State of Florfb,���Gg�
(Sign ure of Notary Public- State al�.pr�,ar. ary�o
S7A'tE�����w`
�'s����B�r,.k \�N?
Commission No. FF936050 (Seal)
Commission No. FF935o50 �A1;0;
Commission
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17