HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: SCANNED Permit Number: - co5
N.a,. m - �76IIw131�1Y1tl
St. Lucie County RECEIVED
Building Permit Application JUL'o2 ems
Planning and Development Services
Building and Code Regulation Division Permitting Departm
2300 Virginia Avenue, Fort Pierce FL 34982 _
St. Lucie County
Phone: (772) 462-1553 Fax: (772)-462' 1578 " COr1 meftial" Residential Xx::'" "'" "
PERMIT APPLICATION FOR: Roof
Address: 7859 WINTER GARDEN PARKWAY, FORT PIERCE
Legal Description: LAKEWOOD PARK - UNIT 5 - BLK 49 LOT 9
Property Tax ID #:
Site Plan Name: _
Project Name: BROWN/REROOF
Setbacks . Front Back:
1301-605-0241-000-5
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING 5V CRIMP METAL
PANELS (FL#17443.1) ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE& METAL
(FL#9777.7) SELF -ADHERED UNDERLAYMENT.
DHVAC 0 Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2,400
Cost of Construction: $ 11,140
perm¢— cnecKau
Gas Piping
Sprinklers
apply:
Shutters ❑
Generator Z
Windows/Doors
Roof 5/12 Roof pitch
_
S Ft. of First Floor: 1,752
Utilities: Septic Building Height: 1 STORY
Q.W. ,NEM/,RCSSEE:
CO MR, C"70 ;
Name ANTHONY BROWN
Name: KYLE WHITE
Address: 7895 WINTER GARDEN PKWY
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-216-5037
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail:V-ANSTON7859@GMAIL.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: CCC1325896
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENAL C®a10—NSTRU IIQN LIENfIAVV INFORMgTION;�
DESIGNER/ENGINEER: _ of Applicable
Name:
t
MORTGAGE COMPANY:
Name:
_ of Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ of Applicable
Name:
BONDING COMPANY:
Name:
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 yo r paying twice for
improvements to your property. A Notice of Commencement must be recorded sted on the jobsite
before the first inspecti you intend to obtain financing, consult with len or attorney before
commencing wo reco/dYng vour Notice of Commencement.
Si ature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTYOF SrLUCIE
The forgoing instrument was acknowledgedbefore me
The forgoing instrument was acknowledged efore me
this 27TH day of JUNE 2B by
this MH day of JUNE 20by
KYLE WHITEWAAAl— e44\\t\01111111P/i1//f,_
KYLE WHITE----//
Personallyame Known xx on making
•
d d POfi'S•IC •..3q e`'r�`-
Name of person making
xx inra•n�'�
OR Produc
y � er�j q��iEr
` 2a
Personal) y Known OR Produced ed Ide'.��i4\4\44
n f�g
Type of Identification _ •> gem
Type of Identification
rs A•:
Produced _ m.® ;
=P oduced*.:g2o�em6er
iy'•, #FF936050®._��
•.Q �nA;d@N;y:°ova^`
^a' kFF936050
(Signature of Notary Public -State of Florida'/ipH/,0f S
oridag''Gg'•.';?�!re°6�,.`• •
(Sign. ture bf Notary Public -State of FlSTATE
1i1p4
moo`
FF 936050
Commission No. (Seal)
( lI 11 nil 0�444\\
Commission No. FF936050 Seal
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DATE
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COMPLETED
Rev.8/2/17