HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I �0
SCANNED RECEIVED
BY
law_ 1-9 1 Lsle Cou?A/
Buil i ng ermi pplication DEC 0 5 2016
Planning and Development Services PE,9.MITTINQ
Building and Code Regulation Division St. Lucia CountY, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XX Residential
I PERMIT APPLICATION FOR: Roof I
PROPOSED IMPROVEMENT LOCATION: -1 1 1 111
Address: 5101 N HIGHWAY AlA, FORT PIERCE (CLUBHOUSE)
Legal Description: 10 34 40 NE 1/4 OF SE 1/4 OF SW 114 AND NW 1/4 OF SW 1/4 OF SE 1/4 AND S 1/2 OF NW 1/4
OF SE 1/4 LYG WLY OF MEAN HIGH WATER Ll OF BLUE HOLE CREEKICOVE AND INDIAN RIVER
Property Tax ID #: 1410-341-0001-0007
Site Plan Name:
Proiect Name: OCEAN RESORTS CLUBHOUSE/ RE -ROOF
Setbacks Front Back: _ Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G SELF -ADHERED UNDERLAYMENT.
(40 SQ / 4/12 - 12/12 PITCH)
CO� RUCTION INFORMATION:
AM t�
J�nalworKtoijenertormed under this permit —check all apply:
[1H GasTank E]Gas Piping Shutters OWindows/Doors
11 Electric Plumbing []Sprinklers Generator W1 Roof
Total.Sq. Ft of Construction: 4000
Cost of Construction: $ 14,660
S Ft of First Floor: 3759
Utilities'll Sewer OSeptic
Building Height: I STORY
OWNER/LESSEE:
CONTRACTOR -
Name OCEAN RESORTS CO-OP INC
Name: KYLEWHITE
Address: 5101 N. HIGHWAY AlA
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: FORTPIERCE 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: CCC1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUcTiON UEIN LAW INFORMATION:
Name:
Address:
City: State:
Zip: 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 Not Applicable
Name:
Address:
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants that ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions yhi ich may apply.
w
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
improvemelrits to property. A Notice of Commencement must be recorded and posted on the jobsite
before thi irs * ion. If you intend to obtain financing, consult with I rider or an attorney before
commenc Bbirkgr recording vour Notice of Commencement.��5�
!121��
ik� S
SignatuFe-of Owner/ Lessee/Agent
Signature —of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF- STLUCIE
The inginstr m nt was a leclge�,before me
MIDUPOV,
Thefor inginstrA clb f
was a knowledg a ore me
thisAgday of 20 J�Qby
,�;nt
thisagldi. k
— - QQC C, 20 by
KYLE WHITE
KYLE WHITE
(Name of person acknowledging) ....... .6 51*
(Name of person acknowledging
or
(Yigiiature of Notary Pdbilc-State of W�Rda #FF936050
nature of Not* P6blic- State of Flori3a—)
Ito
Personally Known X OR Proi hb - wot� '
Personally Known X OR Produced tl�OE Af4N
Type of Identification Produced—
Type of Identification Produced 'V
Commission No. FF936D50 (Seal)
Commission No. FF936050 ea
9-VO50 J., si
Revised 07/15/2014 ...... 0
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