HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCABNVNED Permit Number: �, VI/�y� ✓�
St. Lucie County
__ - � __ - RECEIVED
Building Permit Application
Planning and Development Services APR 3 0' 269
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof
PRQPQSEeD I P VEMENT L�OC�ATION:
Address: 3501 SNEED ROAD, FORT PIERCE
Legal Description: 28 35 38 THAT PART OF SE 1/4 OS SE 1/4 MPDAF: FROM NE CORNER OF SE 1/4 OF SE 1/4 OF SEC RUN N
89 54 49 W 42.50FT TO W RNV LI OF SNEED RD AND POB, TH CONT NWLY 726 FT, TH S 00 36 21 300FT, THE S 89 54 49 E AND MORE
Property Tax ID #: 2228-441-0002-000-5
Site Plan Name:
Project Name: FEKETA/REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Black No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL (FL#17443.1) ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK
WEATHERLOCK TILE & METAL (FL#9777.7) SELF- ADHERED LINDERLAYMENT.
11HVAC U Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 3,000
Cost of Construction: $ 14,500
Piping UShut ers ❑Windows/Doors
nklers Generator Roof 5/12 Roof pitch
S Ft. of First Floor: 2,418
Utilities:llSewer OSeptic
Building Height: 1 STORY
OWNE_Q/LE55EE:
CONTR% CiOR:
Name STEWART FEKETA
Name: KYLE WHITE
Address: 3501 SNEED RD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 772-979-6222
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: SMFEKETA@ICLOUD,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:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_-L.Nat'Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ of Applicable
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 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 a posted on the jobsite
before the first inspec on. In�ou intend to obtain financing, consult with lend r an a rney before
rnmmeneine workof vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature 6f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledge before me
23RD APRIL
The forgoing instrument was acknowledge efore me
this 23RD day of APRIL ZQ by
this day of • 2Ol by
KYLE WHITE
KYLE WHITE lllllill,..
Name of person making statement°°`\`\ °r� N///i/���
Name of person making statementoN\°'`°aPp1NE � ,
Personally Known xx OR Produced�li° catitam 9 ✓i
Personally Known xx OR Produced I�enti�jcm]�
Type of Identification .` , op\RUs310
15 N%
o A
Type of Identification _E'{%•
• tuber •
Produced = o�x •ao�a�,e _Produced
; �� "•'g?�:
NFF93 �*
6050
F936050T)MLO
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�?d9i1hN. s ' OPT
(Si ature of Notary Public- State of Flof��N;�n`'�.• of \��°°�
(Signature of Notary Public- State of Floriifd:,: Bl/� SiATEeF��\°°
/MIT T EU�°
Commission No. FF936050 ($ea/frl1111ElEEiH1
Commission No. FF936050 (Seal)
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DATE
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DATE
COMPLETED
Rev.8/2/17