HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY St Lucie County-,
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: j772JA62' 1578 Commercial
1 l o -Y0 .L I
RECEIVED
JUL 12 2019
ST. Lucie County, Permitting
Residential xx : " `
PERMIT APPLICATION FOR: Roof III
Address: 5515 RAINTREE TRAIL, FORT PIERCE
Legal Description: INDIAN RIVER ESTATES - UNIT 09 - ELK 59 LOT 35
Property Tax ID #: 3402-610-0015-000-4
Site Plan Name:
Project Name: TRAYNORIREROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL
PANEL (NOA#18-1023.07) ROOF SYSTEM OVER 30# FELT UNDERLAYMENT (FL#12328.7).
HVAC II Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 3,100
Cost of Construction: $ 16,000
Piping UShutters ❑Windows/Doors
nklers 1:1 Generator 0 Roof 6/12 Roof pitch
Sof First Floor: 2,288
Utilities. -In Sewer ElSeptic
Building Height: 1 STORY
®WiNER/LESSEE:
CONTRACTQR:
Name JOEL & JUDI TRAYNOR
Name: KYLE WHITE
Address: 5516 RAINTREE TRL
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-971-1291
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: TECHP05@AOL.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.
a a
SUPPLEM�NTrAL CONSTRUCfIV)R I IMRUM INFORMA
EIONs
DESIGNER/ENGINEER:
Name:
—Not Applicable
MORTGAGE COMPANY:
Name:
_ tApplicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ of Applicable
BONDING COMPANY:
Name:
_Not 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 rty. otce of Commencement must be recorded and posted on the jobsite
before the first insp . If y i tend to obtain financing, consult with lender or an io 7 before
commencing w recordi Y ur Notice of Commencement. // //
Signat re of Owner/ Lessee/Contractor as Agent for Owner
Signature of Co6tracto—r7ttrefTse
Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STWCIE
COUNTYOF STLUCIE
The forgoing instrument was acknowledge efore me
The forgoing instrument was
acknowledge efore me
this 11TH day of JuLY 20 Viby
this 11TH day of JULy 20_f7 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 I
Type of Identification
`\Iif.iRlll//l
Produced .,�� ,�Q�p1E Mflly9F �y
Produced
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(Si nature of Notary Public -State oflo [da )y r
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(Signature of Notary Public -State of FloriQa) :
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Commission NO. FF 936G50
COmmI5510n N0. FF 836050
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MAN WOVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17