HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a Permit Number: `Goa-6 11 I
RECEIN"T FEB 05 2016
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
PERMITAPPLICATION FOR: Roof—
PROPOSED IMPROVEMENT LOCATION.
Address: 675 SE HIDDEN RIVER DR, PORT ST LUCIE
Legal Description: HIDDEN RIVER ESTATES BLK 1 LOT 10
Property Tax ID#: 3427-701-0011-000-2 Lot No. 10
Site Plan Name: Block No. 1
Project Name: REROOF/CATALDO
Setbacks Front Back: Right Side: Left Side:
DEl'AI.�ED DESCRIPTION OF'V1/ORK',Na� A � ���
�nl � .
TEAR OFF CEDAR SHAKE. RE-NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE
ROOF SYSTEM OVER OWENS CORNING WEAHTERLOCK G SELF ADHERED
UNDERLAYMENT. ( 51 SQ/4/12PITCH).
CONSTRUCTFORM`ATION
Additional work toe performed under this permit—check,all appy:
HVAC Gas Tank Gas PipingMGenerator
Shutters Windows Doors
11Electric 1:1 Plumbing Sprinklers Roof
Total Sq. Ft of Construction: 5100 SFt.of First Floor: 3752
Cost of Construction:$ 15,810.00 Utilities:n Sewer 0Septic Building Height: 1 FLOOR
bWNER/LESSEE: �v' CONTRACTOR:`'
Name GRAZIA CATALDO Name: KYLE WHITE
Address: 675 SE HIDDEN RIVER DR Company: J.A.TAYLOR ROOFING INC
City: PORT ST LUCIE State:FL Address: 302 MELTON DR
Zip Code: 34983 Fax: City: FORT PIERCE State:FL
Phone No.772-216-7888 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: NADINE@JATAYLORROOFING.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 required.
SUPPLEMENTAL CONSTR'UCTICIN,L1 ,N LAW,INE� RMATION „Y
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:
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 OW ER:Your failure to Record a Notice of Commencem nt may r suit in your paying twice for
improv ents to ur property.A Notice of Commencement mus a recor d and posted on the jobsite
before a first in ection. If you intend to obtain financing, cons t with len er or an attorney before
comm cin wor r recording our Notice of Commencement.
s
_Signature Owner/Lessee/Agent Signature of Co tr ctor/L nse Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF �� ye-k'�- COUNTY OF ����UcA-P—
The for oing instrumentwas ackno ledged before me The for oing instrument was acknowledged before me
this day of (F �J 20by this day of F�b�v a- 0 by
`
\ N R /
KYLE WHITE \\\ Pp1NE M•gh//�F//// KYLE WHITE ��\ P\ •�` //i
(Name of person acknowledging) :GoNO 14
4 ber �f�•; % (Name of person acknowledging) vo or 1s, '0i'•
b
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FF a
_� �� •• #FF 936050
(Sig ature of Notary Public-State of (Signature of Notary Public-State of FIA. �►ded� '.�pQ�
BO�dedtbN �� do my .•• cn Q
Known L--__011 Produced/f A�•• � �o�\ Personally Known �R Produced Ide/n�{)PUB�••�jA(� �
Personally
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Type of Identification Produced '"if111 - Type of Identification Produced1 �
Commission No.� �Seal) Commission No.V+(?3( Q50 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS