HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 a SCANNED Permit Number: 14
I 1 of — (�
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 Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED INPROVEMENT,LOCATION;
Address: 5900 TRAVELERS WAY, FORT PIERCE
Legal Description: PALM GROVE S/D BLK D LOT 22
Property Tax ID #: 3410-503-0118-000-2 Lot No. 22
Site Plan Name: Block No. D
Project Name: HARRIS REROOF (SFR)
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONOF WORK:
REMOVE EXISTING SHINGLES DOWN TO DECKING. RE -NAIL DECK. INSTALL NEW SHINGLE ROOF SYSTEM
OVER #30 FELT UNDERLAYMENT. (2700 sq.ft. / 5:12 pitch)
E1HVAC I Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2700
Cost of Construction: $ 6,300.00
Derma— cnecKau appry:
3as Piping _ Shutters ❑ Windows/Doors
Sprinklers Generator Z Roof
S Ft. of First Floor:
Utilities:InSewer[]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JOSEPH HARRIS
Name: KYLE WHITE
Address:5900 TRAVELERS WAY
Company: J. A. TAYLOR ROOFING, INC.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 466-5337
Address: 302 MELTON DRIVE
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 466-8397
Phone No. 466-4040
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: karenfortaylor@aol.com
State or County License: CCC 1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW, INFORMATION.`,
DESIGNER/ENGINEER: x_ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
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 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 or an attorney before
commencing workor recording our Notice of Commencement.
I
r
,
Signature of Owner/ nt/ Lessee
Signature of contractclrYLicense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF SAINTLUCIE
COUNTY OF SAINTLUCIE
The forgoing instrument was acknowled ed before me
this sTH day Of OECEMEER 2Q by
The forgoing instrument was acknowledged efore me
this BTH day OECEMBER 2Q b
Of ,
— y
KYLE WHITE
KYLE WHITE
(Name of person ackn I dging)
(Name of person a1pcknow I
\)
dgi g )
( gnature of Notary Public -State of Florida )
(i nature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. FF115637
mission NO. FF115637 (Seal)
KAREN
- My Commission Expires
��'%;`o�"°••••
_
_ S Commission N FF 115637
�•
Revised o%/>,s/ioi4
��������" June 12, 2018
� My Commission Expires
June 12, 2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
2014-12-10 20:42 j.a.tay'^^ roofing 772 468 8397 >?_ P 2/10
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I�1 lam. SCANNED Permit Number;
. i..:..St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 46Z-1553 Fax: (772)462.1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof III
Address: 5900 TRAVELERS WAY, FORT PIERCE
Legal Description: PALM GROVE S/D BLK D LOT 22
PropertyTax ID ii: 3410-503-0118.000-2 Lot No. P2
Site Plan Name: Block No. D
Project Name: HARRIS REROOF (SFR)
Setbacks Front Back; Right Side: Left Side:
REMOVE EXISTING SHINGLES DOWN TO DECKING. RE -NAIL DECK, INSTALL NEW SHINGLE ROOF SYSTEM
OVER 030 FELT UNDERLAYMENT. (2700 sq.ft.15:12 phoh)
CONSTRUCTION!INFOR MATION: ," "s'"�
Iona wor o e orme un er is perm t- c ec a app y:
❑HVAC LJGasTank ❑Gas Piping _Shutters ❑Windows/Doors
❑ Electric El Plumbing ❑Sprinklers ❑ Generator a Roof
Total Sq. Ft of Construction: 2700
Cost of Construction: $ 6,300.00
S Ft, of First Floor:
UtilitiestSewer❑Septic Building Height:
OWNER/LESSEE:` ;;_;,; .:,;=ate:°..,.:srir:,ati:".-;:.:Jvs:;'::
Name JOSEPH HARRIS
Name: KYLE WHITE
Company: J. A. TAYLOR ROOFING, INC.
Address:5900 TRAVELERS WAY
City; FORT PIERCE State: FL
Address: 302 MELTON DRIVE
Zip Code: 34982 Fax:
City; FORT PIERCE State: FL
Phone No. 466-5337
Zip Code: 34982 Fax: 468.8397
E-Mall:
Phone No, 466.4040
Fill In fee simple Title Holder on next page ( If different
E-Mail: karenfortaylor@aol.com
from the Owner listed above)
State or County License: CCC 1325895
.a.I-1•1--11.111V„.. V.mWC, ancwnuCuIYonWor6ommencementisrequirea.
2014-12-10 20:42 j.a.tayl roofing 772 468 8397
P 3/10
SUPPLEMENfiAL:CONS,TRf/C_[ION
LIEN LAWt,INEORMA710N
N`A�
}I.
ill i. .�.. t:v3, .n; •11.,,'J... I
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State: _
City: State:
Zip: Phone:
Zip: Phone- '
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: _xNot Applicable
Name:
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 Count makes no representation that Is granting a ppermit will authorize the permit holder to build the subject structure
which Is In con ict 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.
Inconsideration 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 or an attorney before
commenciniz work r recording our Notice of Commencement, t
ii i
Signature of Owner/ nt/ Lessee
Signature of Contractdr)License Holder
STATE OF FLORIDA
STATEOFFLORIDA
COUNTY OF aiwrLUCIE
COUNT OF BAINfWCIE
The forgoing instrument was acknowled ed before me
this arm day of oECEMaER 20�j,�" j by
The forgoing Instrument was acknowledged efore me
this sTH day of oECEMDEN 20by
I
KYLE WHITE
KYLE WHITE
(Name of p rson ack7l ging)
(Name of person acknow edgi g )
(i
(Signature of Notary Public- State of Florida)
I i nature of Notary Public. State of Florida )
Personally Known x OR Produced Identification _
Personally Known x OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. FF115637
rommisgIrin No. FF115037 (Seal)
o."."°"". KAREN S. NIELSE
,w`:::n,,,
Revised 07/15/2014°EE
My Commisnion Expires
w„a��°� June 12, 2018w,�
; ag Commission n FF 11563T
My in ras
112,0201
r: Juno a
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED