HomeMy WebLinkAboutBuilding Permit Application 2015-08-04 14:33 j .a.taylor roofing 772 468 8397 >> P 1/1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 15 Permit Numbers
.`. . - RECEI%'ED AUG 04'2095 _
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 — rA 1k.ko, W k
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Address ODN1FER DRIVE,FORT PIERCE
Legal Description: MONTE CARLO COUNTRY CLUB UNIT TWO LOT 191
Property Tax I D#: 1334--502.0072-000-5 Lot No.
Site PIan Name: Block No,
Project Name: TIERNAN REROOF+SKYLIGHT REPLACEMENT
Setbacks Front Back: Right Side: Left Side:
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.DETAI �;.;IONOF�'WORK• ,. w::s.;
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TEAR-OFF PILE, RE-NAIL DECK,INSTALL NEW METAL PANEL ROOF SYSTEM OVER SELF-ADHERED UNDERLAYMENT.
REPLACE(1) EXISTING SKYLIGHT WITH NEW SKYLIGHT,
(54 SO. / 5:12 P)
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CONSTRUGTIC)N INFORMATION: dxj ,'n, ` ;�t;.;;� a; "i• q, t.r,.:}":.
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itiona worko orme un er t isperms —c ec a appy;
❑HVAC LIGasTank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers Generator �✓ Roof
Total Sq.Ft of Construction: 5400 S .Ft.of First Floor:
Cost of Construction:$ 27,395.00 Utilities: Sewer[]Septic Building Height:
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Name WILLIAM&JANET TIERNAN Name: KYLE WHITE
Address:2985 CONIFER DRIVE Company: J-A,TAYLOR ROOFING,INC.
City: FORT PIERCE State:FL Address: $02 MELTON DRIVE
Zip Code: 34982 Fax:772-468.8397 City: FORT PIERCE State:FL
Phone No, 772.359-1074 Zip Code: 34982 - Fax: 772.468.8397
E-Mail: Phone No. 772-468.4040
Fill In fee simple Title Holder on next page(If different E-Mail: karonfortaylor®aol,com .
from the Owner listed above) State or County License: COC1325895
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required,
SUPPLEMENTAL CONSTR4UCTION LIE„N LAW INFQRMON
ATI :; _
.�: �.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: T.C.B.E.,INC./ HARVEY KOEHNEN Name:
Address:7205 ELYSE CIRCLE Address:
City: PORT ST.LUCIE State: FL City: State:
Zip: 34952 Phone: 772-466-5509 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: 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 work of reppirding your Notice of Commencement.
r
Signature of Owner/Agnm /Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINTLUCIE COUNTY OF SAINTLUCIE
14
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 16TH day of JULY 201LOn by this 16TH day of JULY 2001 by
KYLE WHITE KYLE WHITE
(Name of perso cknowl dgi ) (Name of pers n•ackno le ing)
I
'A SAY
(Signature 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 mission No. FF115637 (Seal)
P, S. NIELSEN
_* *_ Commission# FF 11563 ,.��n::�%, KAREN S. NIELSEN
01 wPc'C =;° Commission# FF 115637
—
Revised
June 12, 2018 =� *_
Revised 07/15/2014 ”"FF - = My Commission Expires
June 12, 2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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