HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED II ) �(
Date: c�.' Permit Number: [ Lo
9� x Rvj
`:K-41100-1S 'r" Com?B� V E
Building Permit Application MAY 12 2016
Planning and Development Services
Building and Code Regulation Division PERr�JITTI KIG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION
w.
Address: 2510 GREY TWIG LANE, FORT PIERCE
Legal Description: TWELVE OAKS ESTATES LOT 6
Property Tax ID#: 3405-801-0006-000-3 Lot No. 6
Site Plan Name: Block No.
Project Name: DAVENPORT/REROOF
Setbacks Front Back: Right Side: Left Side:
b��'AILED DESCRIPTION CSF WORK ;,gE � �Q�` � �' � � �u
TEAR OFF SHINGLE. RE-NAIL DECK. INSTALL OWENS CORNING SHINGLE ROOF SYSTEM
OVER 30# FELT UNDERLAYMENT. (47 SQ/5/12 PITCH).
.,.0�#
CONSTRUCTION INFORMATION
, . . . .
Additional work toe nertormed under this permit—c ec a appy:
HVAC Gas Tank 0Gas Piping _Shutters ❑Windows/Doors
11 Electric El Plumbing Sprinklers Ei Generator W1 Roof
Total Sq. Ft of Construction: 4700 SFt.of First Floor: 3866
Cost of Construction:$ 11,750.00 UtilitiesInSewer Septic Building Height: 1 STORY
It R4
, ; , CONTRACTOR `� ... . ;,.g...
-^+-s_.», _ 9y's�+ y9-ns�X �t�-.fit: .,€7. t*
Name WILLIAM&KATHLEEN DAVENPORT Name: KYLE WHITE
Address: 2510 GREY TWIG LN Company: J.X TAYLOR ROOFING INC
City: FORT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34981 Fax: City: FORT PIERCE State.FL
Phone No. 772-359-2939 Zip Code: 34982 Fax: 772-468-8397
E-Mail:KAYANDBILLD@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.
.';•'> ,. -',_''r, ..4sa : ,.. °��`.a,� �.; . ..tt� ,. � `. ..,fin��^""�'s•" ;�,F'i. , �;6 ' ;.3�„�k. �,� �� t r.r, � e s;,sw _
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 prAperty. A Notice of Commencement must be recorded and posted on the jobsite
before the first insp . If you intend to obtain financing, consult with lenclept-r—J)i attorney before
commencing wo c rding your Notice of Commencement.
!! 7eAV----
s
_Signature of Owner/Lessee/Agent Signature of Contractor/Lic se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLuaE COUNTY OF sTLucE
The forgoing insof e t was acknowledged before me The forgoing instrumen was acknowledged before me
this day of 20 It Oby this-1—day of 20 by
KYLE WHITE KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
( ' nature of Notary Public-State of Florida) Sig ture of Notary Pu ic-State of Florida)
Personal) Known �t111,11f01f SBU
Personally L,-"OR Produc�l��tifl' j�ffis Personally Known OR Produced Ide n
Type of Identification Produced ��`� P;:•'""••.S9 °� Type of Identification Produced Ac RAAi
Commission No. FF 936050 dl) �o�9uCommission No. FF936050 }�IONF�A. e
_* ;�� �.� •*_ s :� ,ems r1S�o9�:
'• �3, pQ� = #FF 936050 _
Revised 07/15/2014 s°, pUB iNnnpy'•.� Boed `
;L&
111 IIII °4/UBUC,• ThIt �\N
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATUR�t�1111 ilk-AGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS