Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `Z`a`i ll SCANNED Permit Number: M01 'd yid BY • St. Lucie County RECEIVED Building Permit APPlica on SEP 2 4 '1019 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_ xx PERMIT APPLICATION FOR: Roof wee 1 z P.RO.P,OSED IMPROVEMENT LOCATION: Address: 5145 WATER LILLY WAY, FORT PIERCE Legal Description: RIVER BRANCH ESTATES LOT 10 Property Tax ID #: 3404-809-0014-000-3 Site Plan Name: Project Name: HOLLETT/REROOF Setbacks Front Back: Right Side: Left Side: Lot No. Block No. TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC STANDING SEAM METAL ROOF SYSTEM (NOA#18-1023.07) OVER OWENS CORNING WEATHERLOCK TILE & METAL (FL#9777.7) SELF- ADHERED UNDERLAYMENT, REPLACE ❑HVAC ❑ Gas Tank ❑Gas Piping ❑Electric ❑Plumbing ❑Sprinklers Total Sq. Ft of Construction: 4.600 Cost of Construction: $ 32,020 Shutters ❑ Windows/Doors Generator ❑✓� Roof 6/12 Roof pitch S Ft. of First Floor: 2,066 Utilities:nSewer ❑Septic Building Height: 1 STORY l;O.W N ER/,LESSEE: CONTRACiTTLQR: Name JOSEPH & CYNTHIA HOLLETT Name: KYLE WHITE Address: 5145 WATER LILLY WAY Company: J.A. TAYLOR ROOFING INC City: FORT PIERCE State: FL Zip Code: 34981 Fax: Phone No. 772-418-5337 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: CCC1325896 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUGTI©N ILIIEN I LAW INF©kMAT1I0Nc DESIGNER/ENGINEER: _Not Applicable Name: MORTGAGE COMPANY: __L_U4t Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _ of 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 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 op arty. A Notice of Commencement must be recorded and ted 0 theijobsite before the first ins on.,(f you intend to obtain financing, consult with lender o attory(e{r before commencin¢ w r rec Ine vour Notice of Commencement. ��/ /. Signature o Owner/ Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STwcE COUNTYOF S WOE The forgoing instrument was acknowledgeo�oefore me The forgoing instrument was acknowledgefore me this 23M day of SEPTEMBER 2f) jl'—�11 by th15 z3^+ day of SEPTEMBER 20by 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 Produced ENANRFS4i�� �gQO\ •.; 9 ii� i� �iy goSiOp • (Slifnaturecif Notary Public -State of FPorid'�`)'o.,em 3f 52a 9�; F_ Si ature of Notary Public- State of Dori51�0mber Commission No. FF936050 i iSeall s Commission No. FFe3soso(Sealp'm ^�"= ; AFF 936050 o �9p'E;��iy'op�ry SeNA:��O��� y ; AFF 936050 r ��,➢ :`�B'lM�A1bN�g,�.•�Q�\ REVIEWS FRONT ZONING fr, STATE frS>Ja�'Ii`/ISOR PLANS VEGETATION �6( SEATURTLi���41 0•STASE�t\,e�� WAN99OVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17