HomeMy WebLinkAboutBUILDING PERMIT APPLICATION- •L
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Lt
Date: `1`11 �� SCANNED Permit Num - A'6 y ^ Gro`•
BY RECEIVED
ffi' St. Lucie County
IS, s-APR 112018
Building Permit Applicaticip ST Lucie County, Permitting -
Planning and Developmen[Services
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
PROPOSED IMPROVEMENT LOCATION:
Address: 5101 N HWY Al A, COMFORT STATION #3
Legal Description: OCEAN RESORTS, CO-OP INC. 10 34 40 NE 1/4 OF SE 1/4 OF SW 1/4 AND NW 1/4 OF SW 1/4 OF BE 1/4
AND S 1/2 OF NW 1/4 OF BE 1/4 OF LY WLY OF MEAN HIGH WATER LI OF BLUE HOLE CREEEK/COVE AND INDIAN RIVER, AND MORE
Property Tax ID #: 1410-502-0000-0000 Lot No.
Site Plan Name: Block No.
Project Name: COMFORT STATION #3/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW OWENS CORNING OAKRIDGE SHINGLE
ROOF SYSTEM (FL#10674.1) OVER OWENS CORNING WEATHERLOCK G (FL#9777.1) SELF -
ADHERED UNDERLAYMENT.
CONSTRUCTION INFORMATION:
nw 1J ciwiuicu uuuo u113Poum-1-11an au apply.
OHVAC _Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
12�12
Electric 0 Plumbing Sprinklers Generator W1 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 1,300 S Ft. of First Floor: 1,200
Cost of Construction: $ 4,960 Utilities: Sewer Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR'
Name OCEAN RESORTS CO-OP INC
Name: KYLE WHITE
Address:5101 N A1A
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 508-274-5030
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: FFULLER29@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: CC01325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
MORTGAGE COMPANY: _A-19-otApplicable
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: L^ot Applicable I BONDING COMPANY:
Name:
Name:_
Address:
Address:
City:
City:_
Zip: Phone:
Zip:
Phone:
Applicable
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 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 yo ro y. A Notice of Commencement must be recorded and posted on the jobsite
before the first ins Io If, ou intend to obtain financing, consult with lenderyr a jorney before
commencing wo r re ring Your Notice of Commencement.//
Signatu a of caner Lessee/Contractor as Agent for Owner
Signature of Contractor/Licen a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
The forgoing instrument was acknowledge rj„before me
The forgoing instrument was acknowledged before me
this 9TH day of APRIL
20 1 by
this 9TH day of APRIL
20JK 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
Type of
Producelddentification
.�TttU1i�11itp"`
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Producedentification
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(Signature of NotaryPublic- State o$F4ptida FF936050 :
Commission NO. FF936050`'
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Commission No. FF936050
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETED
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Rev. 8/2/17 'IV