HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-1 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Nurr
SCANNE)
BY
SthjclePo
Building dMit Applicatioi
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
I PERMIT APPLICATION FOR:- Roof
E I Vd LEE D
MAY 2 3 2019 � -
Permitting Department
St. Lucie'.County, FIL
Address: 200 TUMBLIN KLING ROAD, FORT PIERCE
Legal Description: FLA COAST LINE CANAL AND TRANS CO'S S/D THAT PART OF LOT 8 MPDAF: FROM SE COR OF
LOT 8 TH W 336.94 FT TO POB; TH N 515 FT, TH W 140.60 FT, TH S 175 FT, TH E 80.60 FT, TH S 340 FT, TH E 60
Property Tax to #:
Site Plan Name:
2434-801-0009-000-1
Project Name: STEWART/REROOF
Setbacks
Back:. Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANEL ROOF SYSTEM (FL#17443.1) OVER OWENS CORNING WEATHERLOCK TILE & METAL
SELF- ADHERED UNDERLAYMENT (FL#9777.7).
AaCJitionaiworKtoDfe]erTormeo
11HVA Gas Tank
unaertnis permit- cneCK aii appiy:
DGas R. In Shutters
Windows/Doors
-
11 Electric
Plumbing
[]Sprinklers ElGenerator
Roof F4/12] Roof pitch
Total Sq. Ft of Construction: 2.900
S Ft of First Floor: 1,600
Cost of Construction:
$ 12,325
— Utilitiescn Sewer E]Septic
Building Height: 1 STORY
�_N___07/i
[00-115NMR.
- R.
Name AMANDANSTEWART
Name: KYLEWHITE
Address: 20 0 TUMBLIN KLING RD
Company: JA. TAYLOR ROOFING iNC
- FL
City: FORT PIERCE State:
Zip Code: 34982 Fax:
Phone No. 772-971-6575
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: NADI NE@JATAYLORROOFING.COM
-
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SIIP��PIEM�lN�TTA�L-1�LC-ON���T�RUC-r�l�E)fg �EIEN
F,
DESIGNER/ENGINEER: _AZNot Applicable
Name:
MORTGAGE COMPANY:
Name:
__L,,fqot Applicable
Address:
Address:
City: State:
Zip: Phone I
City:
Zip: _ Phone:
State:
FEE SIMPLE TITLE HOLDER: LNot Applicable
Name:
BONDING COMPANY:
Name:
LAot 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 Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in cc Act with any applicable Home Owners Association rules, bylaws or anscovenants that ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions M ch may apply.
w
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 in oyn you intend to obtain financing, consult with lend ey before
cr
commencing =r re ding vour Notice of Commencement.
Signature of -Owner/ Lessee/Contractor as Agent for Owner
Signatufe of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledged -before me
The forgoing instrument was acknowledge5lbefore me
this 23RD day of mAy
�19 by
this 23RD day of VAY 20J'
_J 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
Type of Identification
Produced
Produced
slo
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15,
001
�Sig(na'ture of Notary PubIic-'3ta!i?^oAFIor* 136050
(Signdture of Notary Public-StAe of-Vi#lda _iG'6n
Commission No. FF936050
son �\�o
Commission No. FF936050
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Rev. 8/2/17