HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: V \/ — L SCANNED Permit Number: 9
_ BY
St. Lucie County
• Building Permit ApplicatiolI o
Planning and Development Services y�;p " 10 'r
Building and Code Regulation Division �% �:P
2300 Virginia Avenue, Fort Pierce FL 34982 G*�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResidenNI XX
PERMIT APPLICATION FOR: Roof
Address: 9406 BUNTING LANE, FORT PIERCE
Legal Description: MONTE CARLO COUNTRY CLUB - UNIT TWO - LOT 146 AND 147 AND THAT PART OF TRACT 1 MPDAF: BEG
NE COR OF LOT 146 RUN S 89 14 54 E ALG L1 TRACT 1 38.00 FT, TH S 13 30 40 W 172.06 FT TO SE COR OF LOT. 146 AND MORE
Property Tax ID #:
Site Plan Name:
1334-502-0063-000-9
Project Name: SCOTT/REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF TILE, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC METAL PANEL
ROOF SYSTEM ( NOA# 18-1023.07) OVER OWENS CORNING WEATHERLOCK TILE & METAL
SELF -ADHERED UNDERLAYMENT (FL#9777.7).
�HVAC I �J Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 7,600
Cost of Construction: $ 52,000
Piping I (Shutters
nklers EiGenerator
Windows/Doors
Roof 6/12 Roof pitch
Sqt �Ft. of First Floor: 3,563
Utilities:cnSewer D Septic Building Height: 2 STORY
NW='!FER71 ESSEEs
CONTACTOR:
Name DAN & BETTY SCOTT
Name: KYLE WHITE
Address: PO BOX 1136
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34954 Fax:
Phone No. 772-201-1120
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
Ir vaiue or construction is SUWU or more, a RECORDED Notice
is required.
SUPPLEMENTAL C®NSTRUCTL^ N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _r ,Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not 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• our failure to Record a Notice of Commencement may result in your paying twice for
improvements toy property. A Notice of Commencement must be recorde posteg on the jobsite
before the first' ectigli. If you intend to obtain financing, consult with le or an att¢jfney before
commenci rk or r rding vour Notice of Commencement.
Signafure of Owner/ Lessee/Contractor as Agent for Owner
Signature of Con ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STWCIE
COUNTYOF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledge before me
this 30TH dayof SEPTEMBER 20� by
thl5 30TH day of SEPTEMBER 20 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
Type of Identification
Produced
Produced
Pp^NE
- """ "V_`,ANq�sgy��.
n n
(Signature of Notary Public- State of tiBdrida`)z N 1
(Signa re of Notary Public - State ofF orrfl'a) eo
COmm15510n NO. FF 936050 Z �($eFF 936050 C
Commission NO. FF936050
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SUPERVISOR
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DATE
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COMPLETED
Rev.8/2/17