HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 141VIRROVEMENT LOCATION.
Address: 4806 McCARTY ROAD, FORT PIERCE
Legal Description: S/D OF ALL 4-36-39 W 273 FT OF LOT 12 IN NW 1/4-LESS RD AND CANAL R/W
Property Tax ID#: 3304-501-0031-000-6 Lot No.
Site Plan Name: Block No.
Project Name: TALBOT/REROOF
Setbacks Front Back: Right Side: Left Side:
DE`CAILED DLSSCRIPTION OF"WORK
TEAR OFF MODIFIED FLAT. RE-NAIL DECK. INSTALL JOHNS MAVILLE FLAT ROOF SYSTEM
(18 SQ)
CONSTRUCTION.INFORMATION
Additional work toe e orme under this permit—check a appy:
OHVAC 11 Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1800 S Ft.of First Floor: 1664
Cost of Construction:$ 11,700.00 Utilities:Sewer Septic Building Height: 1 STORY
OWNER%LE5SEE COxIVTRACTOR
Name MARGARET TALBOT Name: KYLE WHITE
Address: 4806 McCARTY RD Company: J.A.TAYLOR ROOFING INC
City: FORT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34945 Fax: City: FORT PIERCE State:FL
Phone No. 772-201-8784 Zip Code: 34982 Fax: 772-468-8397
E-Mail: PTALBOT57511AOL.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 LIE 'LAVV INFORMATIONt� '
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 recgrOd and posted on the jobsite
before=Ir
pection. If you intend to obtain financing, consult wi er or an attorney before
commor recording our Notice of Commencement.
,�Ix— ( o—
S
_Sig�nbfure of Owner/Lessee/Agent Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The for oing instrum nt was cknowledged before me The for ping instrum t was acknowledged before me
this�day of 20 Yoy this�day ofAIQ 20 �by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
( 'gnature of Notary Public-State of Florida) (Si nature of Notary ublic-State of Florida)
Personally Known V OR Produced Ide I tion Personally Known OR Produced Ident'�i,o "1111/1
Type of Identification Produced ��� !! r-ikAAAN11//i Type of Identification Produced aO�N ..__
rim J .• \SS10 ••.9
Commission No. FF 936050 efloh Commission No. FF 936050 ($®U9oe�berls
• o 936050
Revised 07/15/2014 #FF 936050 e• ;oma` ;;A
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DATE
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INITIALS