HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D ��
Date: SCANNED Permit Number: / 11
BY RECEIVED
ikIlt` - St. Lucie County
JUL 'p 9 2019
Building Permit Application Permitting Department
Planning and Development Services St. Lucile county
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
Address: 8068 KIAWAH TRAIL, PORT SAINT LUCIE
Legal Description: POD 25 AT THE RESERVE LOT 27
Property Tax ID #: 3327-705-0028-000-9 Lot No.
Site Plan Name:
Project Name: COYLE/REROOF
Setbacks Front Back: Right Side: Left Side:
Block No.
TEAR OFF TILE, RENAIL DECK. INSTALL NEW BORAL ESATE "S" TILE (NOA#18-0829.03) ROOF
SYSTEM OVER BORAL CITADLE PLUS & TILE SEAL SELF -ADHERED UNDERLAYMENT
(FL#14317-R10)
11HVAC L l Gas Tank
11 Electric 0 Plumbing
I III.-61MUK Gil tlhilly.
Piping _ Shutters ❑ Windows/Doors
nklers 1:1 Generator W1 Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 5.800 S Ft. of First Floor: 2,863
Cost of Construction: $ 28,950 Utilities:11Sewer Septic Building Height: 1 STORY
O+WN� ER/LESSEE:
G®NTRACTOR:
Name RICHARD & LORI COYLE
Name: KYLE WHITE
Address: 8068 KIAWAH TRL
Company: J.A. TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No. 772-519-0275
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: RICH.COYLE1950@YAHOO.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 CON- RU,CTION_LIEN LAW INFORMATION:
DESIGNER/ENGINEER:µ '--got Applicable
Name:
MORTGAGE COMPANY:t
Name:
Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: of Applicable
Name:
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 and posted on the jobsite
before the first inspection. 1*inbu intend to obtain financing, consult with lender or aa ey befy
commencing work-S4-,��u rjl g your Notice of Commencement.
Signature of Owner/ Lessee/ ontractor as Agent for Owner
Signature ofContractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTYOF SrLUCiE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
25TH day DUNE by
this 25rH day of JUNE ZQ� by
this of 26B
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
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Produced
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(S' nature of Notary Public -State of drida a° a N; _
(Signature of Notary Pub Ic- State of Floflda,L owe J2a 9F •a
Commission No. FF936050 :, �, :•(Se57�)936050
Commission No. FF93e050 (§eal1NFF
•,• 936050
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PLANS
VEGETATION
SEA TURTLE
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17