HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED [�
Date: '7Permit Number:_
SCANNED
At. Lucie County
Building Permit Application 1111cft2b
Planning and Development Services APR 1
Building and Code Regulation Division 1 1R18
2300 Virginia Avenue, Fort Pierce FL 34982 Pesl thing Depart
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XX ResidentialucieCou'en!
PERMIT APPLICATION FOR: Roof-
PROPOSED IMPROVEMENT LOCATION;
Address: 5101 N HWY A1A, COMFORT STATION #4
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 SE 1/4
AND S 1/2 OF NW 1/4 OF SE 1/4 OF LY WLY OF MEAN HIGH WATER LI OF BLUE HOLE CREEEK/COVE AND INDIAN RIVER, AND MORE
Property Tax ID #: 1410-502-0000-000-3
Site Plan Name:
Project Name: COMFORT STATION #4/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:'
Lot No.
Block No.
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.
I CONSTRUCTION INFORMATION: I'
1__1HVAC U Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:"1,300
Cost of Construction: $ 4,960
— cnecK a
Piping UShutters ❑Windows/Doors
4/12} t2�tZ
inklers Generator W1 Roof Roof pitch
S Ft. of First Floor: 1,200
Utilities:Cn Sewer U Septic
Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name OCEAN RESORTS CO-OP INC
Name: KYLE WHITE
Add ress:5101 N Al
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: CCC1325895
It value of construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
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 bylaws
rules, 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 recorded and posted on the jobsite
before the first insp . If yo intend to obtain financing, consult with lender or a r before
commencingw cordi our Notice of Commencement.
Rev.8/2/17
v
CONSTRUCTION: LIEN LAW INFORMATION:
,
DESIGNER/ENGINEER:
Name:
_Not Applicable
MORTGAGE COMPANY:
Name:
_blot Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ of Applicable
BONDING COMPANY:
Name:
_ of Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Signature o caner/ Lessee/Contractor as Agent for Owner
Signature of Contrac or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF srLuciE
COUNTY OF srLuclE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 9TM day of nraa 261� by
this 9TM day of APp