HomeMy WebLinkAboutBUIDLING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: /'9 ozr- P 77 7
BY
St. Lucie County
RECEIVED
Building Permit Applicatio
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 XX
AUG 3 0 2018
Permitting Department
s&A,61cie County, FL
PERMIT APPLICATION FOR: Roof
R, JT _107
, T L07, a*
1 IR NO _0_5 NT N-��-�
Address: 2534 HARBOUR COVE DRIVE, FORT PIERCE (POOL HOUSE)
Legal Description: CORAL COVE BEACH - SECTION ONE THAT PART OF TRACT B AND LOTS 18 AND 19 OF BLK 2 AND N 10 FT
OF 20 FT VAC ALLEY ADJ ON S AND SLY 30 FT OF VAC BIMINI DR ADJ ON N AND LOT 18 OF BILK 3 AND N 30 FT AND MORE
Property Tax ID #:
Site Plan Name:
1425-701-0064-000-6
Project Name: POOL HOUSE /REROOF
Setbacks Front Back: _ Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLES, RE -NAIL DECK. INSTALL NEW OWENS CORNING DURATION SHINGLE
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G SELF -ADHERED UNDERLAYMENT.
JUILIVIldl WUM LU UU PU11V[111UU U11UV[ LlUb IJU1111IL—LI
HVAC 0 Gas Tank E]Gas Piping
Electric El Plumbing []Sprinklers
Total Sq. Ft of Construction: 800
Cost of Construction: $ 4,800
apply:
Shutters Windows/Doors
Generator Roof E��] Roof pitch
Sq. Ft. of First Floor: —
Utilities: D Sewer []Septic
Building Height: 1 STORY
J�ff OR,',1
NOW
Name HARBOUR COVE PROPERTY OWNER ASSOC INC
Name: KYLEWHITE
Address: 2410 HARBOUR COVE DR
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 772-925-3561 X701
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: BURT@ELITEMGMTGROUP.COM
Fill in fee simple Title Holder on next page I 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.
'41' 1 1
NORPILIENAMEN=
DESIGNER/ENGINEER:
Name:
'-'Not Applicable
MORTGAGE COMPANY:
Name:
L-11-0t Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
kWot Applicable
BONDING COMPANY:
Name:
Acit 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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co, 17lict with an� 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 recorded and posted on the jobsite
before the first in tion. If you intend to obtain financing, consult with lenderpT an attorney before
commen( =9 nrlecording your Notice of Commencement. 11-7 /
SigSaYure of Uw—n er/ Lessee/Contractor as Agent for Own er
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTYOF STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged eforeme
this 29TH day of AUGUST 261K by
thiS29TH dayof AUGUST Vby
KYLE WHITE
KYLE WHITE
Name of person making statement
Name of person making statement
Personally Known xx OR Produced Identil
�Aj�?,n
Personally Known xx OR Produced Identification
,
Type of Identification M
Type of Identification
Produced .........
Produced .........
,,oar Iq %
'osslo,
(sigKature of Notary Public- State of F��qda #FF 936050
(Soature of Notary Public- State of Fltvi)i�zr
Commission No. FF936050 it" el
Commission No. FF936050 eaf 9.36050
.......
/C
d 1)0 s
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Rev. 8/2/17