HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Q (� SCANNED Permit Number: t l —(Co�
J TY 4' Fa BY
St. Lucie CountY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Res
MAY 31 2019
ST. Lucie County, Pern
PERMIT APPLICATION FOR: Roof Ill
Address: 2715 S 29TH STREET, FORT PIERCE
Legal Description: 3035 40 N 1/2 OF FOL DESC PROP; BEG AT SE COR OF NE 1/4 OF NW 1/4 OF SE 114, RUN N 210 FT, TH W 210 FT, TH S 210 FT
TH E 210 FT TO POB - LESS RD RIW AND FROM NE COR OF E 112 OF NE 1/4 OF NW 1/4 OF SE 114 RUNS 656.75 FT, TH W 210 FT FOR POB, AND MORE
Property Tax ID #:
Site Plan Name:
2420-421-0008-000-5
Project Name: BENNING/REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIVECK. IN_�l'ALL NEW METAL SALES 5V CRIMP METAL PANEL
ROOF SYSTEM (FL#14645.3 OVER 30 ELT UNDERLAYMENT.
u
❑HVAC ❑ Gas Tank ❑Gas Piping
❑Electric ❑ Plumbing ❑Sprinl
Total Sq. Ft of Construction: 3,600
Cost of Construction: $ 13,500
Shutters ❑Windows/Doors
Generator ✓❑ Roof 3/12 Roof pitch
SaI —F—t.� of First Floor:
2,368 1 /%
Utilities:l-Sewer ❑Septic
Building Height: 1 STORY
[OWN
GONTRACTOR:
Name LAURENCE BENNING
Name: KYLE WHITE
Address: 2715 S 29 ST
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34981 Fax:
Phone No. 772-579-9038
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: LBENNING@ATT.NET
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�LI�EN LAW INFO
WI�ATIONI i
DESIGNER/ENGINEER:
Name:
_ of Applicable
MORTGAGE COMPANY:
Name:
_ plicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_LiKiot 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 pr erty. A Notice of Commencement must be recorded and posted the jo site
before the first inspe n. If you 'ntend to obtain financing, consult with lender or an a ney b
commencing wo r recordin ur Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTYOF STLUCIE
The forgoing instrument was acknowledged bef re me
The forgoing instrument was acknowledge,4efore me
this 30TH daym of y 20 by
this 30TH day of mAY , 20 by
IMIAINp/,
KYLE WHITE .n\\\\\\wOF
KYLE WHITE
Name of person making state`Qli';. tit5510ry°'•q
Name of person making stat(•;,`•��y(I'fc h1/uygFo'/ice
Personally Known xx OR Produ_ed Id�tuT'tlgyafio
Personally Known xx OR Proc$$1EJ'�I)j,�aUbR
Type of Identification e, '':0 =
't:�z w'r=
Type of Identification a ;Doti b3� �s �Oi• �_
Produced •<
Pyaduced
�= ' OFF 935050 :
oQ`
r • 190 - SON. ; ° e
OFF 930050 ; Q.
(sign re of Notary Public -State of Flon rah' lld jllltjlttt\\\
(Sig ature of Notary Public - State of:,�1�/r, )11,.
fill
Commission No. FF 936050 (Seal)
Commission No. FF936050 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17