HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - 1 7 Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services FEB 1' 7"2016
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 IMPROVEMENT LOCAfilON
Address: 2106 N KINGS HWY, FORT PIERCE
Legal Description: 36 34 39 SW 1/4 OF SW 1/4-LESS E 1234.70 FT OF W 1259.70 FT OF N 517.34 FT OF S 745 FT AND
LESS S 227.66 FT FOR SFWMD CANAL AND LESS W 65 FT FOR RD R/W
Property Tax I D#: 1336-331-0000-000-2 Lot No.
Site Plan Name: Block No.
Project Name: OMEGA GROVES/REREOOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK sR
TEAR OFF TILE. RE-NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE ROOF
SYSTEM OVER OWENS CORNING WEATHERLOCK G UNDERLAYMENT. (68 SQ/4/12 PITCH).
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Additionalwor to e e orme under this —checkpermit a appy:
❑HVAC be
Tank E]Gas Piping Shutters Windows/Doors11
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Electric ElPlumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 6800 S Ft.of First Floor: 6263
Cost of Construction:$ 21,750.00 Utilities:InSewer Septic Building Height: 1 FL
01NNER%L'E5SEE' � CONTRACTOR 4as ,
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Name OMEGA GROVES LLC Name: KYLE WHITE
Address:P.O. BOX 2757 Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34954 Fax: City: FORT PIERCE State:FL
Phone No. 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LA1N INFORMATION
DESIGNER/ENGINEER: X Not ApplicableMORTGAGE 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 ac ssory uses to another non-residential use
WARNING TO O NER: ur failure to Record a Notice of Commenc ent ma result in your paying twice for
improvemen your roperty.A Notice of Commencement m t be rec rded and posted on the jobsite
before the r inspe ion. If you intend to obtain financing, co ult with I nder or an attorney before
co en i work ecordin our Notice of Commencemen
s
_Signature of Owner/Lessee/Agent Signature Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE
The forg9ing instru n was ac wledge efore me The forgoing instrument was acknowledged before me
this day of V 20by this qday of /� 6� 20
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KYLE WHITE KYLE WHITE M„1S$/Q • i
(Name of person acknowledging) s oaem s0.t. a (Name of person acknowledging) o s?
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(Si nature of Notary Public-State of FI .NolarySe' .•OQ��� (�' nature of Notary ublic-State of Flo, ,q �+Y� •• OQ`��
/C.STATED� ���\ / �//�j��STATE
Personally Known��OR Produced Iden{{�iEi�RdH\\ Personally Known V OR Produced Identit�JclNl\\\
Type of Identification Produced Type of Identification Produced
Commission No. FF 936050 (Seal) Commission No. FF 936050 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS