HomeMy WebLinkAboutBuilding Permit Application 2015-06-23 18:27 j.a.taylor roofing 772 468 8397 >> P 2/5
ALL APPLICABLE INFO )MLPT BE COMPLETED FOR APPLICATION TO BE ACCEPTED t-)/� /�
Date: ����` Permit Number; 1 ��
RECEIVED JUN 24 .2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
.2300 Virginia Avenue,Fort Pierce Ft 34982
Phone;(772)462-1553 Fax: (772)462,1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof -
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Address: 225 TUMBLIN KLING ROAD,FORT PIERCE
Legal Description: FLA COAST LINE CANAL&TRANS CO'S S/D FROM NW COR LOT 11 RUN E 1101,TH S 251 FOR
POB,Thi E 901,TH S 951,TH W 901,TH N 951 TO POB
Property Tax ID#: 2334-801-0017.000-0 Lot No,
Site Plan Name: Block No.
Project Name: REAL STRATEGIC CAPITAL,LLC-REROOF
Setbacks Front Back: Right Side: Left Side:
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DETAILED::.dE5CR1PTI�ONOF'„W ` uFw�;.:Li _
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TEAR-OFF SHINGLE,RE-NAIL DECK.INSTALL NEW SHINGLE ROOF SYSTEM OVER#30 FELT UNDERLAYMENT.
(25$0. / 5:12 P)
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Mclitional work o be Derformed unclert is perms -c ec all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator 7 Roof
Total Sq.Ft of Construction: 2500 S .Ft.of First Floor:
Cost of Construction:$ 6,500.00 Utiiities:"n Sewer[]Septic Building Height:
dW E. _LESSER: `” a�.• �;,. ��.:• ' w ^:. ::3�,.,.,,:•..:
N R/ ,�,,,',, �..��' :-�;:a ''�".�.�: �°..:•C ���=;�=���;;��,•LCO.NTRACTOR•r4_ .'. : ='{A:•:• :}:.•. -
Name REAL STRATEGIC CAPITAL LLC Name: KYLE WHITE
Address:7741 N. MILITARY TRAIL,SUITE 01 Company: J.A.TAYLOR ROOFING.INC
City: WEST PALM BEACH State:FL Address: 302 MELTON DRIVE
Zip Code: 33410 Fax; Cit,; FORT PIERCE State:FL
Phone No.772.882.8334 Zlp Code: 34982 Fax: 772-468-8397
E-Mail: Phone No. 772.466-4040
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: CCC1325895
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is requlred.
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 wok orb-ecording your Notice of Commencement.
Signature of Owner/"Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINTLUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me
this 15TH day of JUNE 204]-by this 15TH day of JUNE .2CUKfby
KYLE WHITE KYLE WHITE
(Name of person acknowle gin (Name of person acknowledging)
A�
( ignature of Notary Public-State of Florida ) (Signature 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 mIS510r1 NO. FF115637
KAREN S. NIELSEN KAREN S. NIELSEN
"z Commission#FF 1156 7 _' °? Commission#FF 115637
y commission Expires = My Commission Expires
°0° June 12, 2018 �° `P June 12, 2018
Revised 07/15/2014 '�'���+�`" '��°°"°�'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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