HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0
ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I • I /.y% 1 SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
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
PERMIT APPLICATION FOR: Roof
"of- v_�S9.
cEzvt
JAN 17 2019
Permitting Departmel
Sty Lucie FL
Address: 5556 S US HIGHWAY 1, FORT PIERCE (TROPICAL ISLES - GAZEBO ON LAKE)
Legal Description: WHITE CITY S/D 10 36 40 LOT 224 LESS CANAL R/2 - AND LOTS 225 AND 226 LESS W 30 FT AND LESS N 38. FT
OF LOT 226 AND THAT PART OF N 1/2 OF LOT 234 AS IN OR 602-1667 LESS E 30 FT AND LESS US #1 FANAND LOT 235 AND MORE
Property Tax ID #: 3403-502-0288-000-9 Lot No.
Site Plan Name: Block No.
Project Name: TROPICAL ISLEIREROOF
Setbacks Front Back: Right Side: LeftSide:
TEAR OFF METAL, INSTALL NEW 5V METAL PANEL ROOF SYSTEM OVER 30# FELT
LINDERLAYMENT.
Generator
Windows/Doors
❑✓_ Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 1000 S❑r. -Ft�. of First Floor:
Cost of Construction: $ 7,860 Utilities:nSewer ❑Septic Building Height: 1 STORY
OWIVE /LE_E_S
CONTRA « Ew)
Name TROPICAL ISLES CO-OP INC
Name: KYLE WHITE
Address: 281 TROPICAL ISLES CIR
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772468-4968
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: MICHELE@TROPICAL-ISLES.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
m
DESIGNER/ENGINEER: otApplicable
Name:
MORTGAGE COMPANY: _ pplicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ of Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 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 fail re to Record a Notice of Commencement may result in your p twice for
improvements to your ope . A Notice of Commencement must be recorded and p on the jobsite
before the first in tion. If u intend to obtain financing, consult with lender attorney fore
commencin or recor our Notice of Commencement.
Sign r n Lessee/Contractor as Agent for Owner
Signatur Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUQE
COUNTY OF STLUGE
The forgoing instrument was acknowledge before me
The forgoing instrument was acknowledgSeefore me
this 14TH day of JANUARV 20 by
��----11
this 14TH day of JANUARV , 20 by
KYLE WHITE
KYLE WHITE
Name of person making statement \\\\eHtUllllllilly�f
Personally Known xx OR Produced`om ��.;.
Name of person making statement \\\N11111111111/llyy
Personally Known xx OR Produced Idyl
Type of Identification :'05SION "'y
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Commission No. FF936050 (Seaij/111111III00
Commission No. FF93e050 (Sea "iffillwO
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17