HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3T1 \�1 SCANNED Permit Number:
BY
1103 - O yay
St. Lucie County
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 _� Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:"' x'
Address: 1010 SHOREWINDS DRIVE
Legal Description: CORAL COVE BEACH -SECTION ONE - BLk 1 LOT 1 AND ELY 2 FT OF LOT 2 AND SLY 10 FT
VAC ALLEY ADJ ON N
Property Tax ID #: 1425-701-0002-000-4 Lot No.
Site Plan Name: Block No.
Project Name: REMLINGER/RE-ROOF
Setbacks Front Back: Right Side: 1, 1, Left Side: '
DETAILED'DESCRIPTION OF WORK:
TEAR OFF SHINGLE. RE -NAIL DECK. INSTALL NEW JA TAYLOR ROOFING EDGE-LOC 1"SS
METAL PANEL ROOF SYSTEM OVER'OWENS CORNING WEATHERLOCK TILE & METAL
UNDERLAYMENT. (24SQ / 5/12 PITCTH)
11 CONSTRUCTION INFORMATION:
E]HVAC I �I Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 2400
Cost of Construction: $ 12,480
na—cnecK au [naC appry:
Piping Shutters ❑ Windows/Doors
nklers Generator W1 Roof
_ S Ft. of First Floor: 2,958
Utilities. Li Septic Building Height: _
OWNER/LESSEE:
CONTRACTOR: - ,
Name ABC 1010 SHOREWINDS DR LLC
Name: KYLE WHITE
Address: 53 NW 350TH ROAD
Company: J.A. TAYLOR ROOFING INC
City: WARRENSBURG State: MO
Zip Code: 64093 Fax:
Phone No. 660-441-2343
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: BREM64093®GMAIL.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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAWINFORMATION
DESIGNER/ENGINEER:
Name:
x NotApplicalild
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip:, Phone:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
'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 1 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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the fir tion. If you intend to obtain financing, consult with lender or an attorney before
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
CO U NTY O F ST LUCIE
The forgoing instrume t was cknowledged before me
this day of _ 20 Eby
STATE OF FLORIDA
COUNTY OF STLUCIE
The o1r�,Cing instrume t was cknowledged before me
thisfday of 20 /-7 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging )
a
k(SaAA ��
'gnature of Notary Public- State of Florida ) (Sigr7ature of Notary Public- State of Florida )
Personally Known x OR
Type of Identification Produce
Commission No. FF936050
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Revised 07/15/2014
Personally Known x OR Produced
Type of Identification Produced _
Commission No. FF936050
e'er is
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,9FF936050
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