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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJr I � t a ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t/ Date: 7 t'o• l7 SCANNE&rmit Number: �7 �%�� ©�T �° BY 0 St. Lucie County RECEIVED Building Permit Application ' JUL 2 6 2017 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Cornmercial Residential PERMIT APPLICATION FOR: Roof ' PROPOSED IMPROVEMENT LOCATION: _ -r Address: 115 NE SOLIDA DRIVE, PORT ST LUCIE' Legal Description: RIVER PARK- UNIT 9 PART B TRACT A i PropertyTax ID k: 3419-565-0001-000-8 Lot No. Site Plan Name: Block No. Project Name: CHURCH WALKWAY Setbacks Front Back: RightiSide: Left Side: DETAILED DESCRIPTION OF WORK: INSTALL NEW OWENS CORNING OAKRIDGE SHINGLE ROOF SYSTEM ON WALKWAY AREA (5SQ / 2/12 PITCH) CONSTRUCTION INFORMATION; - r.uuiuund1 warK LU ue enormea unaer finis permit— cnecK an apply: C 11HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors 11 Electric Plumbing ❑Sprinklers Generator ❑✓_ Roof Total Sq. Ft of Construction: 500 S Ft, of First Floor: Cost of Construction: $ 2,000 Utilities:cnSewer ElSeptic Building Height: 1 STORY OWNER/LESSEE: CONTRACTOR: Name PORT ST LUCIE FIRST BAPTIST CHURCH Name: KYLE WHITE Address: 115 NE SOLIDA DR Company: J.A. TAYLOR ROOFING INC City: PORT ST LUCIE State: FL Zip Code: 34983 Fax: Phone No. 772-878-1488 Address: 302 MELTON DR City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E-Mail: CHUCK@ 1 STPSL.ORG 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. 1 1� SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- IG�NER/ENGINEER: 'x NotAppllcable MORTGAGE COMPANY: x Not Applicable Nam Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or instI allation 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 recordecLand posted on the jobsite before the first ins ectl�i. If you intend to obtain financing, consult with r,¢r an attorney before commencin or ordins your Notice of Commencement. _ Signature of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF ST LUCIE STATE OF FLORIDA COUNTY OF STLUCIE The forgoing instrument as cknowledged before me The for oinginstrument wa acknowledged before me this � day of 20 aby this May of , 20 ET by KYLE WHITE KYLE WHITE (Name of person acknowledging) (Name of person acknowledging ) (Signature of Notary Public- State of Florida) (Sign$ure of Notary Public- Stat6 of Florida ) \\IIIIIIIIIIII// \\\\\11111111111Ip//� Personally Known x OR Prod`�t�@Iftflp�ibry�� Personally Known x OR Produced`1/ii� Type of Identification Produced- Type of Identification Produced Sill 40 Y115� ? 'VO dyer 1 ?O q�� COmmI5510n NO. FF 93605�z ?eal) d9N.. Commission NO. FF 936U50 Revised 07/15/2014 111111 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 2Q INITIALS