HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONY
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED yy /� 1
Date: SCANNED Permit Number: l q m -Qrlca(
BY ReCELveo
St. Lucie County APR 3 61019
Building Permit Application Permitting 0-
Planning and Development Services St, Lucie Caunty
art ent
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1579 Commercial Residential xx
Address: 6004 SUNSET BLVD, FORT PIERCE
Legal Description: INDIAN RIVER ESTATES -UNIT 08 - BLK 7 S 30 FT LOT 7 AND ALL LOT 8
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Fr
3402-609-0685-000-7
RICORD/REROOF
Back: Right Side:" Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING 1 3/41, STANDING
SEAM METAL PANEL (NOA#18-1023.12) ROOF SYSTEM OVER OWENS CORNING
WEATHERLOCK WEATHERLOCK TILE & METAL (FL#9777.7) SELF- ADHERED
Sprinklers
L _I Shutters
Generator
QWindows/Doors
Z Roof 5/12
Total Sq. Ft of Construction: 4,400 S Ft. of First Floor: 3,532
Cost of Construction: $ 21,150 Utilities: Sewer OSeptic Building Height: 1 STORY
�OWNrER�/LESSEE:
COrN�TtCTiOR:
Name CAMILLE RICORD
Name: KYLE WHITE
Address: 6004 SUNSET BLVD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-370-7061
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: STEVESAPP88@GMAIL.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.
SU.P.P.LEMENMAL 6,0W TARtyRIJ EN LAW INFORMATION:
DESIGNER/ENGINEER: _ of Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: N Applicable
Name:
BONDING COMPANY: _ of Applicable
Name:
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.
no
,e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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 yo propert . AN otice of Commencement must be recorded and pos d on the jobsite
before the first i ection. If u intend to obtain financing, consult with lende an orney before
commenci ork or recor our Notice of Commencement.
Signature of Owner/ Les ee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTYOF STWCIE
The forgoing instrument was acknowledgegefore me
The forgoing instrument was acknowledge#efore me
this 23RD day of APRIL 20 F% by
_-t
this 23RD day of APRIL . 2O� by
KYLE WHITE
KYLE WHITE
Name of person making statement
`tttlllll Illlf//
Name of person making statement
Personally Known xx OR Produce\{,� �fIf7A6'f%Qt<<
;�ftCdtltlM/_
Personally Known >a OR Produced Ide\R
Type of Identification �Q;•
Type of Identification \\\\ NpDINE,H /ieG
Produced y
Produced9td`!e�
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Commission No. FF936050 7''(9,��Vr(I111111,\\\\\
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Commission No. FF936050 / 'e�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
. REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17