HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber: Voq_00_r�)
BY
St- Lucie County
Building Permit Application RECErVCD
Planning and Development Services SEP 21 ma
Building and Code Regulation Division
?300 Virginia Avenue, Fort Pierce FL 34982 Permitting Do I partment
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial vl' Residential" 11441a 0afity
I PERMIT APPLICATION FOR: Roof III
Address: 5890 S. US HWY 1, FORT PIERCE (GENERATOR BLDG)
Legal Description: WHITE CITY S/D 10 36 40 S 120 FT OF LOT 254 - LESS CANAL RNV - (ACCESS RD) (ASSD AS COMMON PROPERTYAS
PER FS 193.023(5) AND 718.12(l)-LESS THAT PART OF RD RNV MPDAF:FROM S 1/4 COR OS SEC RUN N 00 18 04 W 1991.05 FT, AND MORE
Property Tax ID #: 3403-502-0338-010-8
Site Plan Name:
Project Name: GROVE ASSOCIREROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF ROLL ROOFING, RE -NAIL DECK. INSTALL NEW POLYGLASS FLAT ROOF SYSTEM
(W-140) - ELASOTBASE FULL ADHERED AND APP WHITE CAP
—1
Gas Tank
[]Gas
Piping
U
Shutters
1:1
Windows/Doors
E:1
Plumbing
[]Sprinklers
LiGenerator
W1
Roof
-
FO/12 ]
Roof pitch
Total Sq. Ft of Construction: 1,100
Cost of Construction: $ 8,860
S Ft of First Floor: 1,000
Utilities,cn SewerE]Septic Building Height: I STORY
R/� EE�
MT RA t,0
Name GROVE COMMUNITY ASSN INC
Name: KYLEWHITE
Address:— 5890 S US HWY 1 , UNIT 1
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-332-6483
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: GROVECOM MUNITY@,ATT. NET
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.
ISUPPLEMENTAL' CONSTRUCTIPIN LI-EN LAW INFORMATION
MORTGAGE COMPANY: __Laot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: __LWApplicable 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 Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conl7lict 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 recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender !�p at�tney before
commenciniz workor recording vour Notice of Commencement.
Signature orOwner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF_STLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledgeoefore me
27TH SEPTEMBER by
this 27TH day of SEPTEMBER by
this day of 20 _L6
KYLE WHITE
KYLE WHITE
Name of person making statement
Personally Known XX OR Produced Identificatiop
Name of person making stateme5t,,"1i9ii;011,,
Personally Known xx OR ProduSS& f....' 7/Z
_S
Type of Identification
Type of Identification SION.'-.
Produced is W
Produced
4FF 936050
�Ia
4FF 93600
4LA
-0 _/9
A
(S nature of Notary Public- State of
(Si state of754)7id
541V
6i 0
*/j/f 84 / c S T X,
Commission No. FF936050 (Sea[)
Commission No. FF936050
REVIEWS
FRONT
ZONING
SUPERVISOR
P
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
I
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
(L!�
COMPLETED
Rev. 8/2/17