HomeMy WebLinkAboutBuilding Permit Application 2015-06-23 18:27 j.a.taylor roofing 772' 468 8397 » P 4/5
ALL APPLICABLE tNFCIU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
V C�
Date; ✓� Permit Number; 0
Building Permit Application
Planning and DevelopmentServices
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
.�.. .y. .P.__.— ` �4', w•ge.��i,�'`rr`,Ln !, J��;'+'''i4oy_._
.PROPOSED;:INP.FtOVEMENT�L0-'U.ON:°�;.. � s;LL;:-`;`:; ,:. a ';-.;:: ,•'
Address: 8294 SPICEBUSH TERRACE,PORT ST.LUCIE
Legal Description: LAKE LUCIE ESTATES PAL NO ONE LOT 78
Property Tax ID#: 3426-703-0092.000-6 Lot No.
Site Plan Name: Block No.
Project Name: BAKER REROOF
Setbacks Front Back: Right Side: Left Side:
• .. .• . ......__,h•;'.r.M.t, ."..:`n�" .itiN���- `•���-a a'. r. . rr n�om,.:,;,}-QESp- .q6,0 �1OKDETAILED. ON,� ,
....,
,
�:4 eft"!`j�'Jy.':,'• �_+ ' r�"?1i`r*:4-,ii`•"y`y •'!.• ?. :.:i•,;,. '
TEAR-OFF SHINGLE.RE-NAIL DECK,INSTALL NEW SHINGLE ROOF SYSTEM OVER SELF-ADHERED UNDERLAYMENT,
(28 SCI. / 4:12 P)
�... ,
1 a_5:�:i n•1.•:.
:CON57RUCION I:N:f=ORM" I..ONL - ti;;•, ;_;� °�::
i '
_ •�i ! - ill-...= . •i{fir��.
ACCUtional worK toclee orme under this permit—c ec a appy:
HVAC 1:Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric El Plumbing []Sprinklers ❑Generator ✓�Roof
Total Sq.Ft of Construction: 2800 Sq.Ft.,of First Floor:
Cost of Construction:$ 7620.00 Utilities:Sewer Septic Building Height:
OWNER LESSE nCO�NTRA ,�' -=:r-;,•..:
Name BONITA BAKER Name; KYLE WHITE
Address:8294 SPICEBUSH TERRACE Company: J.A.TAYLOR ROOFING,INC.
City: PORT ST, I.UCIE State:FL Address: 302 MELTON DRIVE
Zip-Code: 34952 Fax: City: FORT PIERCE State:FL
Phone No. 772-579-0394 Zip 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: CCC1325695
I
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
SJPPLEMENTAL CONSTR U, CTION-,LIEN LAW IN;FPRMATION A
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 inspipction. If you intend to obtain financing, consult with lender or an attorney before
commencing w rk Ir recording our Notice of Commencement.
e � �
Signature of Owner/Agent/Lessee Signature of Contra ctoryLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINTLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15TH day of JUNE 20L_J by this 15TH day of JUNE 20=by
KYLE WHITE KYLE WHITE
(Name of person cknowledgi r,
) (Name of persojanowledgi g
(Signatureo Notary Public-State of Florida) (Signature o ublic-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. FF115s3 Commission No. FF115637
KA S. NIELSEN
�`.a�•�' KAREN S. NIELSE
-• °"= Commission#FF 11 5637 '
o .'
:• .3 __• °"? Commission#FF 115 7
v aF My Commission Expir
:°FFL:110 June 12, 2018 �•�� June 12, 2018
Revised 07/15/201 """
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED