HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONe I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \d�`b�� SCANNED Permit Number:
BY
_ t 1, , , St. Lucie County
=RECEIBuilding Permit ApplicationPlanning and DevelopmentServicesgo-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
PROP`QSED IMPROVE, -MENIT LOCATION:
Address: 2407 KELLY COURT, FORT PIERCE
Legal Description: ORANGE BLOSSOM ESTATES BLK 3 LOT 11
Property Tax ID #: 3421-601-0031-000-0
Site Plan Name:
Project Name:
HARVEY/REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF ROLL ROOFING, RENAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC
METAL PANEL ROOF SYSTEM (NOA#18-1023.07) OVER OWENS CORNING WEATHERLOCK
TILE & METAL UNDERLAYMENT (FL#9777.7). ON FLAT PORTION INSTALL POLYGLASS W-61
MODIFIED BITUMEN ROOF SYSTEM (FL#1654.1)
HVAC
Gas Tank ❑Gas
Piping
U Shutters ❑ Windows/Doors
Electric 0
Plumbing []Sprinklers
1:1 Generator Z Roof 2/12 Roof pitch
Total Sq. Ft of Construction: 2,300
Cost of Construction: $ 14,800
S Ft. of First Floor: 1,814
Utilities:CnSeweroSeptic Building Height: 1 STORY
OWNER/L-ESSEE:
@ONT CTOR:
Name VANESSA HARVEY & OSCAR BILORDO
Name: KYLE WHITE
Address: 1756 SE FAIRFIELD ST
Company: J.A. TAYLOR ROOFING INC
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone No. 561-352-6486
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: VHARVEYI2@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.
SUPPLEMENTAL @ONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVII 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 gayin, twice for
improvements toy perty. A Notice of Commencement must be recorded a osWd on the jobsite
before the first ins on. If j u intend to obtain financing, consult with lende an attbrney before
commen, w or recordi a your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF srwciE
COUNTY OF sTLuaE
The forgoing instrument was acknowledge before me
this TTH day OCTOBER 20_M by
The forgoing instrument was acknowledge before me
this TTH day of OCTOBER 20_n by
of
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
ig ature of Notary Pub ic- St?(Ipnf• lorida
o .... 6DINEMANRESA
(Signature of Notary Public-�� of FlofMIJEMANRESA
Commission No. cc3s5zoa • . I °�f IssbnitGG355203
�s�""•�' Commisslan#GG355203
commission No. cc3552o3
''BEExxwNiJTIvuoYB4gmNN*gSI
Expire4li@�2i�bar15,2023
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17