HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number: \))'j— a5"r
BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services APR '1 3 2016
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resfdential'ounty, FL
PERMIT APPLICATION FOR: Roof III
JPROP;OSED IMPROVEMENT LOCATION:
: - -
Address: 9803 S. OCEAN DR
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION I -BEG AT BE COR OF LOT 22 SEC 1 RUN S21 DEG 13 MIN 52 SEC E 83.31 FT,
TH S 68 DEG 46 MIN 08 SEC W 32.43 FT TO PC OF CURVE CONC NWLYR 409.01 FT, THE ALG ARC OF SO CURVE 47.95 FT AND MORE.
Property Tax ID #: 4502-501-1623-000-1 Lot No.
Site Plan Name: Block No.
Project Name: NETTLES ISL OFF/ REREOOF
Setbacks Front Back: Right Side: Left Side:
TEAR OFF SHINGLE. RE -NAIL DECK. INSTALL 1"SS METAL PANEL ROOF SYSTEM OVER
SELF ADHERED UNDERLAYMENT. (33 SQ / 4/12 & 8/12 PITCH).
,;CONSTRUCTION INFORMgTION': -; -•, � ; _ � ; -_ -- " ' � ; ,, s:
AMr1Mnna imnr to ono nrmo un ort isnormit—r or o'f .t.nnv �y
❑HVAC 0Gas Tank
❑Electric ElPlumbing
Total Sq. Ft of Construction: 3300
Cost of Construction: $ 21,600.00
Piping ❑_Shutters ❑Windows/Doors
nklers Generator W1 Roof
_ S Ft. of First Floor: 4852
Utilities.. Sewer❑Septic Building Height:_
'OWxNER%LESSEE:`°
'" ,,
KCONTRACTOR
Name NETTLES ISLAND INC
Name: KYLE WHITE
Address: 9801 S OCEAN DR
Company: J.A. TAYLOR ROOFING INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No.772-359-2939
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: ncrboard@yahoo.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.
SUPP[ ENWNTAL CONSTRUCTION':LIEN
LAIN
INFORMATIC!N
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:
1 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 record d and posted on the jobsite
before the first in,Wc90)i. If you intend to obtain financing, consult with I er or an attorney before
—Signature of aWner`/ Lessee/Agent
STATE OF FLORIDA 1 STATE OF FLORIDA
COUNTY OF L u C.l-_ I COUNTY OF S�� _ V a�t-P
The forgoing instrument was a knowledged before me
this � day of li' l k 20 1(Qby
KYLE WHITE
acknowledging )
Notary Pdblic-State of
Personally Known OR Produced
Type of Identification Produced
Commission No. F F� (Seal)
Revised 07/15/2014
mbar J$ vo-.
je ?o
The forgoing ins
this V day of
KYLE WHITE
(Name of person acknowledging )
20
Notary Public- State of Florida
before me
of #FF936o50
PersonallyKnown '"n... rr �GOR Produced Identification
Type of Identification Produced
Commission No..:c3(Seal)
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