HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 7r�
Date: SJri�l SCANNED Permit Number:BY
g. St. Luce Countyoepa,tMpY 2 01019
• Building Permit Application Pe SULudeCo� riot
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XX
PERMIT APPLICATION FOR: Roof III
Address: 2407 BLOSSOM COURT, FORT PIERCE
Legal Description: ORANGE BLOSSOM ESTATES - 2ND ADDITION - 2ND PLAT BLK 8 LOT 4
Property Tax ID #: 2412-609-0025-000-9
Site Plan Name:
Project Name: GODINESIREROOF
Setbacks Front . Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL
PANEL ROOF -SYSTEM (NOA#18-1023.07) OVER OWENS CORNING WEATHERLOCK TILE &
METAL (FL#9777.7) SELF -ADHERED UNDERLAYMENT.
Auwuund1worKL0oe errormea unaerinisperma— cnecKau apply:
0HVAC _ Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
11 Electric 0Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 3,500 S Ft. of First Floor: 3,664
Cost of Construction: $ 19,135 Utilities: Sewer E]Septic Building Height: 1 STORY
I E /,LESE E:
CONTRACfiOR:
Name FRANCISCO GODINES & MARIBEL GOMEZ
Name: KYLE WHITE
Address: 2407 BLOSSOM CT
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-467-0026
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
it value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMEN FAL GONSTRU�iONMIIE LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
of Applicable
MORTGAGE COMPANY: _ of Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
kAot Applicable
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.
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 poste n the jobsite
before the first inspe oyyt1jj If you intend to obtain financing, consult with lender or t ey before
commencing w r reE�rding your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLuae
COUNTYOF sTWGIE
The forgoing instrument was acknowledgeaefore me
17TH MAY
The forgoing instrument was acknowledge efore me
17TH MAY
this day of 20 by
this day of 20 �Iby
KYLE WHITE
KYLE WHITE
Name of person making statement \\tltt!1!!1!IIIIry4
OOF�f�i..
Name of person making statement
Personally Known xx OR Produced ' 11w' R
Personally Known xx OR Produced Identification
�l-4
Type of Identification `�` a�, �FtitSSION^.• ''�
Type of Identification 1111111/144
Produced a : �o,¢�uer ls�o-O9.
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Produced \���\\ E MAAIR
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(Si nature of Notary Public- State of Flo'fj�1•AA
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(Signature of Notary Public -State of F17dridy ) V •�
���i>O/UE<tC,�STAZE��\��`\
FF936050
�o� #FF 93o050
Commission No. ($e�iJ1HElF1!fN\\\\\
Commission No. FF936050 01rySN>¢:•V�2�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17