HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLIICCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:] _ \� 66AININED Perm it Number:
,,I N By
;t I-udeC0unty RECEIVED
Building Permit Application MAY 31 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xx
PERMIT APPLICATION FOR: Roof
Address: 421 E. COCONUT AVENUE, PORT ST LUCIE
Legal Description: RIVER PARK- UNIT 2 - BLK 1 LOT 23
Property Tax ID #: 3419-510-0023-000-8
Site Plan Name:
Project Name: DECAPITE/REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING (NOA#18-1023.0a)
EDGE-LOC METAL PANEL ROOF SYSTEM (23SQ) OVER OWENS CORNING WEATHERLOCK
TILE & METAL (FL#9777.74,SELF-ADHERED UNDERLAYMENT. ON FLAT�RTION INSTALL
IFI POLYGLASS (W-61) MOD _ BITUMEN ROOF SYSTEM (FL#1654-R23) - 8SQ
AaamonalworKtooe ertormea unaertnlspermit— cnecKall apply:
OHVAC .Gas Tank ❑Gas Piping In _Shutters ❑Windows/Doors
11 Electric 11Plumbing ❑Sprinklers 11 Generator Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 3,100 S . Ft. of First Floor: 1.154
Cost of Construction: $ 17,300 Utilities:iSewer ElSeptic Building Height: 1 STORY
OWNER%LESSEE:
CONTRACTOR:
Name DAGMAR CP DECAPITE
Name: KYLE WHITE
Address: 421 COCONUT AVE E
Company: J.A. TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. 772-878-3258
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCQN�STRUCO LIEN.LAW3INF®RMATION:
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY: _ of Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ of Applicable
Name:
BONDING COMPANY: Not 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.] will, in all respects, perform the work
in accordance with the approved plans, th'e 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 p ed on the jobsite
before the first i ectio�j. If you intend to obtain financing, consult with lender or attorney fore
commencin rk or r ording your Notice of Commencement.
Z�2�
-
Sign ture of Owner/ Lessee/Contractor as Agent for Owner
Signature o Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 6TLUCIE
COUNTYOF 6TLUCIE
The forgoing instrument was acknowledge efore me
The forgoing instrument was acknowledggg efore me
this 30TH day of IN.Y , 20by
this 3UTH day of mAy 20/ 1 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
�pINE�d
Produced ��p\NEM
�p
C�O MSS!
\,�a�
%
bar r F1.o,•.•
S
Sig ature of Notary Public -State ofFlorid%• �s ; -
(Sig ature of Notary Public- State of HofTda) a
o ,"„
ort• g,�p
FF936050 "�
#Fj,F936050
FF936050 Oj3-j Q�
Commission No. • @ ded15�
i99L ••� dlbN. S .00.\`
Commission No. ..ice !-. a,71gd d IbNS;
STATE OE
,C Al
.nr H
p
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17