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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3 4a 1 \� Permit Number: Building Permit Application MAR 0 2 2018 Planning and Development Services ST. Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial xx Residential PERMIT APPLICATION FOR: Roof - w.e-}y II P, R'0 NO S E DI 1 M P. RON E M E N N LOGA�TION Address: 6950 S US HWY 1, PORT ST LUCIE Leeal Description: MODEL LAND CO'S S/D OF SEC 15 35 40 BLK 4 N 300 FT OF S 385 FT IN SE 1/4 - LESS RD AND CANAL R/W Property Tax ID #: 3415-501-0069-000-2 Site Plan Name: Project Name: CHURCH/REROOF Setbacks Front Back: Right Side: Left Side: Lot No. Block No. TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW .Pei% rSet^ AWM &IP5V-CRIMP METAL PANEL ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK TILE & METAL SELF - ADHERED UNDERLAYMENT. Additional work to De errormea unaer tors permit—cnecK all apply: ❑HVAC Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors ❑Electric ❑Plumbing []Sprinklers ❑Generator ZRoof 6/12 Roof pitch Total Sq. Ft of Construction: 5,500 S Ft. of First Floor: 11,237 Cost of Construction: $ 24,610 Utilities:Sewer ❑Septic Building Height: 1 STORY OWN ER/LESSEE: &DISIMRA0101331 -Name HOLY FAITH EPISCOPAL CHURCH _ _ _Name:___ KYLE WHITE Address:6990 S US HIGHWAY 1 Company: J.A. TAYLOR ROOFING INC City: PORT ST LUCIE State: FL Zip Code: 34952 Fax: Phone No.772-418-3830 Address: 302 MELTON DRIVE City: FORT PIERCE State: FL Zip Code: 34982 Fax: 772-468-8397 Phone No. 772-466-4040 E-Mail: HOLYFAITHPSL@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. ASP PLEME TALC®NSTRUC�TION LIEN4LAW INFORMQ=T+ION:' 1".a .. - DESIGNER/ENGINEER: Name: _I.-INot Applicable MORTGAGE COMPANY: Name: ✓Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ of Applicable BONDING COMPANY: Name: Not Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 andcovenantsthat 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 first inspection�e If you intend to obtain financing, consult with lender or an aftrney before �77 commencins wereG6kding vour Notice of Commencement. l7 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLMIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 1st day of MARCH . 20_ by this +sr day of MARCH 20_ by KYLE WHITE KYLE WHITE Name of person making statement Name of person making statement Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification Type of Identification Type of Identification Produced Produced �. p\N R, lv °° \�PF ��wulunui SSI��s9 o bar 7S? A� `\`\��PD�NEMAIV, h,\SSIQy .9 °io : (Si ature of Notary Public- State of Hgriaa )_ ®. " `� ; * - (Sig ure of Notary Public- State olo�t�aa Commission No. FFsasoso �9ea N ,:• o� Commission No. FFsasoso = :• (S, 036050 i 9 rnels7., 02�., i�9!rNmarl;.. Fnc-'��__— - -- -- - -°i°J� BQC, z o Q� _-_ - __-_ - -_ i9 •'�mfedt4N. e;� ��- - - °i°°9`pG ry�.�o;`. -- --------- SiAtF-�� •I REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEATURTLE 1 IN1\\\� MANGROVE - COUNTER REVIEW REVIEW REV REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17