HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �3 7 -1(0 SCANNED Permit Number: I 1 D l / S " M'w
BY RECEI�;P�D
St. Lucie County
Building Permit Application MAR 17 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential-0
PERMIT APPLICATION FOR: Roof III
Address: 8557 S. US HWY 1
Legal Description: ST LUCIE GARDENS 26 36 40 BLK 3 PART LOTS 4,5 AND 6 LYG S AND W OF US A MPDAF: FROM SW COR LOT 4
RUNN 90 DEG 41 MIN 25 SEC W ALG S LI LOT 5 14.06 FT, TH N 27 DEG 31 MIN 37 SEC W 194.48 FT TO POB, THN 63 DEG E 200.02 FT.
Property Tax ID #: 3414-501-1904-325-6
Site Plan Name:
Project Name: RUSSO / REROOF
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
TEAR OFF MODIFIED ROOF. INSTALL JOHNS MANVILLE MODIFIED BITUMEN ROOFING
SYSTEM OVER STEEL DECK. (61 SQ / FLAT).
HVAC LJ Gas Tank
Electric 1:1Plumbing -
Total Sq. Ft of Construction: 6100
Cost of Construction: $ 33,550.00
Piping Ij Shutters ❑ Windows/Doors
nklers 11 Generator W1 Roof
S Ft. of First Floor: 5839
Utilities:n Sewer []Septic
Building Height:
OWNERf
LESSEE'
Y_. . _ .. _ .
GONTRAGTOR
-,. _..
Name KILLAVANEY PROPERTY CO
Name: KYLE WHITE - -
Address: 133 WATERS EDGE DR
Company: J.A. TAYLOR ROOFING INC
City: JUPITER State: FL
Zip Code: 33477 Fax:
Phone No.
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: ANDYVIP@BELLSOUTH.NET
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: CCO1325895
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN 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:
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
improvements to
pr perty. A Notice of Commencement must be reimf
before the first i pe togq� If you intend to obtain financing, consult I
commencing? w r r rectlrdine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
STATE OF FLORIDA
COUNTY OF STLUCIE
in your paying twice for
Id posted on the jobsite
an attorney before
The for oing instr e t was cknowledgeo�I,',before me The for -oing mstrume t was a knowledg d before me
this day of Q 0� 20 W by this Z day of �, 20 T by
KYLE WHITE I KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging )
(5gn9ture of Notary Public -St
Personally Known V OR
Type of Identification Producer
Commission No. FF936050
Revised 07/15/2014
of Florid 4%%11llllloll///, (Signature of Notary Public- State of Florida )
�ppO�NE �yFsGii�
duc`g�i Idar jBSKiy'x.. �� Personally Known �R Produced Icip
co mbar )s`PA�'•��s Type of Identification Produced
s ;(Sealy Commission No. rrsasoso :•
A \\\\\
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTL� Ill ,
I OXNGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED
BY
St. Lucie County
Permit Number: 1603-0320
RE'os5C)Q
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
P�0'?SED`tIViPROVEMEI'TLOCATION__
Address:
8557 S. US HWY 1
Legal Description: ST LUCE GARDENS 26 36 40 BLK 3 PART LOTS 4,6 AND 6 LYG S AND W OF US 1 MPDAF: FROM SW COR LOT 4
RUNN 90 DEG 41 MIN 25 SEC W ALG S L1 LOT 514.06 FT, TH N 27 DEG 31 MIN 37 SEC W 194.48 FT TO POB, THN 63 DEG E 200.02 FT
Property Tax ID #: 3414-501-1904-325-6
Site Plan Name:
Project Name: RUSSO / REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF MODIFIED ROOF TO LIGHTWEIGHT CONCRETE. INSTALL JOHNS MANVILLE
MODIFIED BITUMEN ROOFING SYSTEM OVER LIGHTWIEGHT CONCRETE DECK (61 SO).
NO INSULATION *BEING REMOVED OR INSTALLED
uua,wuinwuc rnunucu wluc, um pcuun —uicun all rn apply.
HVAC _ Gas Tank ❑Gas Piping _ Shutters
Electric ❑ Plumbing []Sprinklers ❑ Generator
Total Sq. Ft of Construction: 6100
Cost of Construction: $ 33,550.00
Windows/Doors
Z Roof
S Ft. of First Floor: 5839
Utilities:InSewer []Septic
Building Height:
OWNE12/LE55EEi r
CONTRAGIOR; m -
Name KILLAVANEY PROPERTY CO
Name: KYLE WHITE
Address: 133 WATERS EDGE DR
Company: J.A. TAYLOR ROOFING INC
City: JUPITER State: FL
Zip Code: 33477 Fax:
Phone No.
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: ANDYVIP@BELLSOUTH.NET
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°':CONSTRUCTIONLIEN
LAW'INF®RMATIf3N:El � . ;•
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:
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 r roperty. A Notice of Commencement must be r d and posted on the jobsite
before the firs ns i �. If you intend to obtain financing, consult le a or an attorney before
commencin or ec rdin our Notice of Commencement.
4< (A 1::� - — 7it� N�
s
_ Signature wne Lessee/Agent Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTYOF sTwae
The fo,rggoing instrume t was a knowledged before me The for oing instrument was ^acknowledged before me
this � day of Q,C 20 1�by this Z day of I--�OsC.v\ . 20 VO by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging )
ryICCcL��
(Signature of Notary Public -State of Florida) (Signature of Notary Public -State of Florida )
l/ 1'40%111111p11�fill J/z
Personally Known OR Produced �Dl: Personally Known L� OR Produced IdentificatiMillll�
Type of Identification
' Produced— .�` r• a�\sT� sleN� ti G,- Type of Identification •Produced
�T'—lS� ` (e�er 75. % -q�i—'15� e�O\S e I—
Commission No. ALlI N.* Commission No. 'P
8FFM050 :Q -*:�_ ►.� `Dm:Tt
abnmto oql� %yt: OFF936050 ; Q
Revised 07/15/2014
!C,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
SOr:�WOVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS