HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAh
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:—\ SCANNED Permit Number: i w a
BY
St. Lucie Countv RECEIVED
Building Permit Application DEC 0 5 2016
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-15S3 Fax: (772) 462-1578 Commercial XX Residential
PERMIT APPLICATION FOR: Roof
__7
YROPOSED IMPROVEMENTPLaCATTION
Address: 5101 N HIGHWAY AlA, FORT PIERCE (OFFICE BLDG)
Legal Description: 10 34 40 SE 1/4 OF SE 1/4 OF SW 1/4 AND SW 1/4 OF SW 1/4 OF SE 1/4 OF LYG WLY OF MEAN
HIGH WATER Ll OF BLUE HOLE CREEKICOVE AND INDIAN RIVER
Property Tax ID #: 1410-344-0001-000-6
Site Plan Name:
Project Name: OCEAN RESORTS OFFICE I RE -ROOF
Setbacks
Back: _ Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G SELF -ADHERED UNDERLAYMENT.
(31 SCI / 4/12 - 12/12 PITCH)
,�RIJCTION INFORMATION`!E��-
0 1 al work to be nertormecF under this permit—cheCK all apply:
— HVA Gas Tank E]Gas Piping —Shutters E]Winclows/Doors
11 Electric Plumbing []Sprinklers 1:1 Generator W1 Roof
Total Sq. Ft of Construction: 3100
Cost of Construction: $ 11,360
5 Ft of First Floor: 3072
Utilities -In Sewer OSeptic
Building Height: I STORY
-t1OWNEk/L8SEE.*
CON
TRACTOR:
Name OCEAN RESORTS CO-OP INC
Name: KYLE WHITE
Address: 5101N-HIGHWAYAlA
Company: J.A. TAYLOR ROOFING INC
City: FT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 631-714-9833
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail:— JEFFV5312@AOL.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: CCC 1325895
It value or construction is 5Z500 or more, a RECORDED Notice at Commencement is required.
Ah
Name:
Addre!
City:
Zip: —
LER: x Not Applicat
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
MORTGAGE COMPANY: X NotApplicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x NotApplicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rules, bylaws or an9covenants 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 f' s o If you intend to obtain financing, consult wit��er or an attorney before
cornmenc!1W'rWMr ree'llrding your Notice of Commencement- '-� X
- Signature of owner/
STATE OF FLORIDA
COUNTY OF ST LUCIE
Signature
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgo . ledgqd before me The forgoing inst u Ent was a know e ge e ore m
is -cgDclay rru this a 0 VeM IC-, 20 X0_
�g inst:
th of 2OWby __Mday of by
KYLE WHITE KYLE WHITE
(Name of person acknowledging (Name of person acknowledging I
-,j ,OBr 15
#FF 936050
(Wriature ot Notary Public- State of Florida otary Public- State of Flor@,a-
ature of N
Pe
Personally Known x OR Produ W4.W rsonally Known x OR Produced IdenN,
Type of Identiflcation Produced_ -0 Type of Identification Produced
Commission No. FF936050
15&1) CommissionNo. FF936050 (Seal)
Revised 07/15/2014
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