HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: _ 0(-_& N�1 tU
St.Wde Cf111nt�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Roof II
PROPOSED INPROVEMENT LOCATION:
Address: 371 E. MIDWAY ROAD, FORT PIERCE
Legal Description: WHITE CITY S/D 03 36 40 N 261' OF E 1 00'OF LOT 34-LESS RD RS/W-
PropertyTax ID #: 3403-502-0055-000-7
Lot No.
Site Plan Name: _ Block No.
-Plojeet.LJarne: CLASSROOM TEACHERSASSOCIATION - REROOF MANSARD 1
Setbacks Front Back: Right Side: Left Side:
TEAR -OFF SHINGLE. RE -NAIL DECK. INSTALL NEW- E ROOF SYSTEM OVER #30 FELT UNDERLAYMENT.
MANSARD ONLY (17SQ. /
�HVAC I Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 700
Cost of Construction: $ 4,500.00
Piping ❑_Shutters ❑Windows/Doors
nklers Generator ✓Z Roof
S Ft. of First Floor: _
Utilities:llSewer OSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ST LUCIE COUNTY CLASSROOM TEACHER ASSN.
Name: KYLE WHITE
Address:371 E. MIDWAY ROAD
Company: J. A. TAYLOR ROOFING, INC.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.772-464-6430
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: karenfortaylor@aol.com
State or County License: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r -,
Name:
City:
Zip:_
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
LAW
State:
x Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
x Not Applicable
Address:
City:
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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine workror rdcordine vour Notice of Commencement. A !'
Lessee
STATE OF FLORIDA
COUNTY OF SAINTLUCIE
The forgoing instrument was acknowledged before me
this 31 day of AUGUST 20 by
KYLE WHITE
Personally Known —x
Type of Identification P
Commission No. FF115637
Revised 07/15/2014
ORProducedIdentification
IKAREN S. NIEL
:ommission k FF 1
My commission E
Signature of ContractdryLicense Holder
STATE OF FLORIDA
COUNTY OF SAIWLUCRE
The forgoing instrument was acknowledged before me
this 31ST day of AUGUST .20Urby
KYLE WHITE
(Name of
mallyKnown X
of Identification
No.
State of Florida I
OR Produced Identification - -
Co
�• MUSE mmission N FF 715E
My r'.,..,missic
JunePIr
2, 2018
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2015-09-01 13:38 j.a.tayl.o,`-aofing 772 468 8397 >> P 1/3
ALLAPPLICAALEiINF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ! /—�y"
Date: Permit Number: /J q —cot /
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462.1553 Fax:(772)452-1573 Commercial x Residential
PERMIT APPLICATION FOR: Roof III
Address: 371 E. MIDWAY ROAD, FORT PIERCE
Legal Description: WHITE CITY $/D 03 36 40 N 261' OF E 100' OF LOT 34-LESS RD RS/W-
Property Tax ID #: 3403-502.0055.00D-7
Lot No.
Site Plan Name: Block No.
Project Name: CLASSROOM TEACHERS ASSOCIATION - REROOF MANSARD
Setbacks Front Back: Right Side: Left Side:
DET-AILED,:DESCRIP-RIP,0'q
e WV -:AV' ; '�W M. �5. 91✓ _ n W a"y s'
TEAR -OFF SHINGLE, RE -NAIL DECK. INSTALL NEW SHINGLE ROOF SYSTEM OVER #30 FELT UNDERLAYMENT.
MANSARD ONLY (17SQ. / 2;12P)
L 1HVAC LiGasTank
11 Electric 11 Plumbing
Total Sq. Ft of Construction: 700
Cost of Construction: $ 4,600.00
3as Piping
Sprinklers
Shutters
Generator
Windows/Doors
✓❑ Roof
S . Ft, of First Floor:
Utilities:12Sewer[]Septic Building Height;
OWNER/L-ESgEEc4 "d,,
ONTRi4GTOR
Name STLUCIE COUNTY CLASSROOM TEACHER ASSN.
Name; KYLE WHITE
Address- 371 E. MIDWAY ROAD
Company: J. A. TAYLOR ROOFING, INC.
City: FORT PIERCE State: FL
Address: 302 MELTON DRIVE
Zip code: 34982 Fax:
City: FORT PIERCE State: FL
Phone No.772.464-6430
Zip Code: 34982 Fax: 772a68.8397
E-Mail:
Phone No, 772-466.4040
Fill in fee simple Title Holder on next page (If different
E•Mail: karenfortaylor®aol.eom
from the Owner listed above)
State or County License: CCC1325895
it value of construction is SZ501] or more, a RECCIRDED Notice of Commencement is required.