HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �ay ��1 SCANNED Permit Number: \ Ntc\- O 5d L{
BYAgave CRECEIVED:]St. Lucie CountyBuilding Permit ApplicatioPlanning and DevelopmentServices
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 - YN e�a` � _ Q q r h
PROPOSED IMPROUEMENIT LOGAaTI®N�
Address: 8150 HIDDEN PINES ROAD, FORT PIERCE /(BARN)
Legal Description: HIDDEN PINES ESTATES ELK LOT
Property Tax ID #: 2323-701-0002-000-4
Site Plan Name:
Project Name:
SMITH/REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RENAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE
(FL#10674.1) ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G (FL#9777.1) SELF -
ADHERED UNDERLAYMENT.
11HVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 800
Cost of Construction: $ 3,100
Piping
UShutters
❑Windows/Doors
nklers
Li
Generator
g
Roof
6/12
Roof pitch
SqI -F�t. of First Floor: 800
Utilities:cnSewer OSeptic Building Height: 1 STORY
&0j E /,�LCESSEE_
CONTRACTOR:
Name DONALDSMITH
Name: KYLEWHITE
Address: 8150 HIDDEN PINES RD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. 772-579-3108
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: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: of Applicable
Name:
MORTGAGE COMPANY: of Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: :_ of 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 toy property. A Notice of Commencement must be recorded d posted on the jobsite
before the first i e tion. If you intend to obtain financing, consult with len r an attorney before
commencin ork recordinR your Notice of Commencement.
ign re of -owner/ Lessee/Contractor as Agent for Owner
Sign re o ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledge.efore me
18TH SEPTEMBER
The forgoing instrument was acknowledg �y before me
18TH SEPTEMBER
this dayof 20�by
this day of 2B1�by
t
KYLE WHITE
KYLE WHITE
Name of person making stateM "'r"Js,°,
Personally Known xx OR Pro�it�cle {ciplf"..
Name of person making stateTIT
���t((11\\tyE
Personally Known xx OR Produce�r3 l�.er�4iq,�� IotrSF; r4:
Type of Identification e;.' ���S �Y,o .,
. O Oer 75 i �N,
9m
Type of Identification e °oC�`h'" iq
O mbar 7S,q
Produced m 20� ;
Produced o�
FF 936050 0 ;
�y ° F 936050
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(Si nature of Notary Pu lic-State off,�j��J€�fdgai:i�C}IQ'�p;`!l••°`�p�F\,�\\��``
Si ature of Notary Public -State ofA•/'l��rr/t1•
oNf�
F93s050Commission No.
�:;11•1•
\^c�`��Commission No. FF936050
1H•
(Sea1i
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17