HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: D _ t
L ; RECEIVED
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..................--......_ Z 9 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
PERMIT APPLICATION FOR: Roof
PROPOSED IPROVEMEiVT LO,CATIO�IU fr�� �;� "' � �� � r� � �
Address: 2605 ESSEX DR, FORT PIERCE
Legal Description: SHERATON PLAZA-UNIT FOUR REPLAT LOT 325
Property Tax ID#: 1432-807-0083-000-2 Lot No. 325
Site Plan Name: Block No.
Project Name: HABITAT/REROOF
Setbacks Front Back: Right Side: Left Side:
:� - r xk. r as ., a� �,:, t a .a d e e r. e �t 1 a: �n� •-
DETAILED DESCRIPTION OFdWORK ;}g,
TEAR OFF SHINGLES. RE—NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE ROOF
SYSTEM OVER OWENS CORNING WEATHERLOCK G SELF ADHERED UNDERLAYMENT.
(19 SQ/3/12 PITCH).
;CQNSTRUCTION INFORMATION t,aa
_ n 4
Additional work to eperformed under this permit—check a appy:
Shutters rs❑HVAC be
Gas Piping ❑Windows/
Doors
11 Electric 0 Plumbing ❑Sprinklers M
Generator W1 Roof
Total Sq. Ft of Construction: 1900 SFt. of First Floor: 1354
Cost of Construction:$ 5,710.00 Utilities:Sewer❑Septic Building Height: 1 STORY
ODUN ER/LE5SEECOIVTRAC?OR'
Name ST LUCIE HABITAT FOR HUMANITY INC. Name: KYLE WHITE
Address: 702 S 6TH STREET Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34950 Fax: City: FORT PIERCE State:FL
Phone No. 772-919-1574 Zip Code: 34982 Fax: 772-468-8397
E-Mail:construction@stiuciehabitat.org 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",UCTiON LIEN LAW INFORMATION° :P'*kN
f
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 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 recor nd posted on the jobsite
before the firs 'n pection. If you intend to obtain financing, consult with" n o an attorney before
commencin recording our Notice of Commencement.
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_Signature caner/Lessee/Agent Signature of ontractor/ 'cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for oing instrum nt was cknowledg before me The for ing instrument as ack owledged before me
this�day of r�� 20Wby this 9day of CLrL 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
aw-0`
(S gnature of Notary Pu lic-State of Florida) ( ign ture of Notary Public-State of Florida)
Personally Known�R Produce, 01, Personally Known L' OR Produced Identification
Type of Identification Produced �� ��0....... F�
R !i�— Type of Identification Producedslov
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Commission No. FF936050 �' �5 Ai; FF936050 �� •• 0•�•.s ��i
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