HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ��03�456a
—T_ RECEIV70 MAR 2 91016
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 IMPROVEMENT LOCATION
1 �z u1
Address: 6108 DELEON AVE, FORT PIERCE - SHED
Legal Description: LAKEWOOD PARK- UNIT 10- BLK 132 LOT 26
Property Tax ID#: 1301-612-0342-000-5 Lot No.26
Site Plan Name: Block No. 132
Project Name: HUNT/REROOF
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OFwWORK � � �
TEAR OFF SHINGLES. RE-NAIL DECK. INSTALL JA TAYLOR ROOFING 5V CRIMP METAL
ROOF SYSTEM OVER 30# FELT LINDERLAYMENT. (6 SQ/4/12 PITCH):
CONSTRUCTION INFORMATION
Additional workto ea Orme" under t ispermit–ch 2--Ck all appy:
❑ Gas Tank [:]Gas Piping _ n Doors
11 — pin g Shutters L�l Windows/
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 600 S Ft.of First Floor: 480
Cost of Construction:$ 1,800.00 Utilities:0Sewer Septic Building Height: 1 STORY
OWNER/LESSEIE uG CONTRACTOR.° " ;
Name DAVID W.HUNT Name: KYLE WHITE
Address:6108 DELEON AVE Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34951 Fax: City: FORT PIERCE -FLStateF
Phone No. 772-370-9457 Zip Code: 34982 Fax: 772-468-8397
E-Mail: DWHUNTFI@GMAIL.COM 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 CONSTRUCTION LIEN LAW INFORMATION;:
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:
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 thepermit 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 re red and posted on the jobsite
before the first ' ection. If you intend to obtain financing, consult wi der or an attorney before
commencin or or recording our Notice of Commencement.
s
_Signature o wner/Lessee/Agent Signature o ntr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for ing instrumen was ac nowledg d before me The for oing instrument was ac nowledged before me
this day of 20by this day of Q�f' 20 by
M ������i
KYLE WHITE \��\ �P'•�SSI 'gFs9 %fYLE WHITE
e .?o�9N• _me of person acknowledging) OW'..
N 9•9(Name of person acknowledging) MI
o #FF 936050
( Ignature of Notary Public-State of Florida i9�••; rNo ig ature of Notary Public-State of FI�tea) :Q
6,79
Personally Known L/ OR Produced Identific� 1STAIE Personally Known OR Produced •k
Type of Identification Produced Type of Identification Produced
Commission No. FF 936050 (Seal) Commission No. FF936050 (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS