HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: V - I `(- )S SCANNED Permit Number:
By
St. Lucie County RECEIVE®
Building Permit Application
Planning and Development Services OCT 14 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
(_PROPOSED INPROVEMENT LOCATION:
Address: 88501NDRIO ROAD, FORT PIERCE
Legal Description: 14 34 39 SW 1/4 OF SW 1/4 OF NW 1/4-LESS W 95' & LESS S 60' FOR RD & CANAL R/W - AND LESS ADDL RD RM MPDAF:
FROM W 1/4 COR OF SE, TH N 00 37 49 E 36.091, TH S 89 51 59 E 95.21', TH N 00 08 01 E 23.91' TO POB; TH N 00 37 49 E 75.37 . .... more
Property Tax I D #: 1314-233-0001-000-0
Lot No.
Site Plan Name: Block No.
_-
Project NamerINDRIQ_PARK SCHOOL.HOUSE"_-REROOF`r%
Setbacks Front Back: Right Side: Left Side:
TEAR -OFF METAL SHINGLE. RE -NAIL DECK. INSTALL NEW 5V CRIMP METAL PANEL ROOF SYSTEM OVER #30 FELT.
SQ. / 7:12, 4:12 & 3:12 )
,CONSTRUCTION >IN FORMATION:
Aaclitionalworl(toDe ertormed under tis permit — checK all apply:
E1HVAC LJ Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric Plumbing ❑Sprinklers Generator ❑✓_ Roof
Total Sq. Ft of Construction: 2500
Cost of Construction: $ 12,500.00
S Ft. of First Floor: _
Utilities:l Sewer ElSeptic
Building Height:
,OWNER/LESSEEc
-CONT.RACTOR _ .
Name SAINT LUCIE COUNTY
-Name: KYLE WHITE -"
Address:2300 VIRGINIA AVE.
Company: J.A.TAYLOR ROOFING, INC.
City: FORT PIERCE State: FIL
Zip Code: 34982 Fax:
Phone No. 772-462-2551
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@acl.com
State or County License: CCC1325895
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION;
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x 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: 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 orIn attorney before
commencing work or recording vour Notice of Commencement. A
STATE OF FLORIDA
CO U NTY O F SAIW LUCIE
The forgoing instrument was acknowledged before me
this 13TH day of OCTOBER 20 by
KYLE WHITE
Florida )
- - - II 1 Type of Identification Produced -
Commission No. FF115637 ,
N S. NIELSEN
Commission OFF 115637
Revised 07/15/2014 June 12. 2018
STATE OF FLORIDA
COUNTY OF SAiWLUC
The forgoing instrument was acknowledged before me
this 13TH day of OCTOBER 20=by
KYLE WHITE
'Name of I
(Signature
M
NIELS
Commission Expires
June 12. 2018
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