HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/5/2015 Permit Number: 15 1 )i — Q n
RECEIVED NOV 12 2015 SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Countv
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 - {+� oa , 6', �, III
Address: 1664 SE WALTON RD, PORT ST LUCIE
Legal Description: PORT ST LUCIE - SECTION 61 - TRACT K
Property Tax ID #: 3420-805-0013-000-4
Site Plan Name: THE DOROTHY J. CONRAD ADMIN. ANNEX
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF DURALAST SINGLE PLY. INSTALL JOHNS MANVILLE MODIFIED BITUMEN OVER
STEEL DECK (115 SQ / 1/4" /12 PITCH).
1:1HVAC LJ Gas Tank
11 Electric 1:1Plumbing
Total Sq. Ft of Construction: 26,878
Cost of Construction: $ 84200.00
Piping Li Shutters ❑Windows/Doors
nklers 11 Generator Z Roof
S Ft. of First Floor: _
Utilities:cnSewer DSeptic
Building Height: 24 FT
OWNER%LESSEE:' '~<
CONTRACTOR
Name ST LUCIE COUNTY
Name: KYLE WHITE
Address: 2300 VIRGINIA AVE, SUITE 201
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.772-462-1433
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 77-466-4040
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.
1
SUPPLEMENTAL:CONSTR1JCilONxR
LAW INFORMATION
y
DESIGNER/ENGINEER: x_
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X
Name:
Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 yyith fender or an attorney before
commencing work dr recording vour Notice of Commencement. °I /
_ Signature of Owhbr/ Lessee/Agent
STATE OF FLORIDA S+ L� L �
COUNTY OF
The forgoing instrument was acknowledged before me
this " day of /\/6v 20 Sby
KYLE WHITE
(Name. of person acknowledging )
(Signature of Notary Pub' -State of Florida )
Personally Known OR Produced Igg\3 t49j►gn
Type of Identification Produced o����\ ERIP i !//,
Commission No.
F:1-� Z--t F_3b
Revised 07/15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _�Lday ofPJ20 -4;7�oy
KYLE WHITE
(Name of person acknowledging)
(Vgnature�ary Public- tate of Florida )
Personally Known ./ OR Produced
Type of Identification Produced
Commission No. _
Fr-61820 C,o
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