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Home My WebLink AboutBuilding Permit Application a I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ! ,, 1� J� Date: o�� LL9 Permit Number: ' L00 J'® r � Building Permit Application MAY 2 5 2016 Planning and Development Services Building and Code Regulation Division PERMITTING 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"IMPRQVEMENT,LO.CATIQN: ., . Address: 102 SE SOLAZ AVE, PORT ST LUCIE Legal Description: RIVER PARK-UNIT 5 BLK 51 LOT 1 Property Tax ID#: 3419-540-0268-000-0 Lot No. 1 Site Plan Name: Block No. 51 Project Name: KHAN/REROOF Setbacks Front Back: Right Side: Left Side: DETAILED DESCRI'PTION_:OF"WORK " TEAR OFF TAR & GRAVAL. RE-NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE ROOF SYSTEM OVER (30#) FELT UNDERLAYMENT. (23 SQ/3/12 PITCH). CONSTR"UCTIONANFOk ATION. Additional work tof e nprtormed under this permit—check all appy: HVAC Gas Tank Gas Piping _Shutters Windows/Doors Electric Plumbing Sprinklers E Generator W1 Roof Total Sq. Ft of Construction: 2300 S Ft. of First Floor: 1252 Cost of Construction:$ 5,850.00 Utilities:Sewer 0Septic Building Height: 1 STORY OWNER/LESS'EE ")CONTRAC,TOR: Name AMEENA KHAN Name: KYLE WHITE Address: 212 MAGNOLIA LAKES BLVD Company: J.A.TAYLOR ROOFING INC . City: PORT ST LUCIE State:FL Address: 302 MELTON DR Zip Code: 34986 Fax: City: FORT PIERCE State-FL Phone No. 347-515-4121 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. 'SIFFLEMENIALrCONSTRUCTION LIEpN'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: 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 r property. A Notice of Commencement must be recorded and posted on the jobsite before the fi Ins ction. If you intend to obtain financing, consult with len r an attorney before commencor recording our Notice of Commencement. 14'IZA s _Signature of Owner/Lessee/Agent Signature o Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The forgoing instrume t was vknowledgeq before me The forgoing instrumen wasknowledggfl efore me this la day of C J(20� by this day of 20 `�y KYLE WHITE KYLE WHITE (Name of person acknowledging) (Name of person acknowledging) V(Sanature of Notary Public-State of Florida) (Si nature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known_��OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. FFsasoso (Seal) Commission No. FFsssoso (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 2016-05-25 13:36 j.a.tay(or roofing 772 468 8347 >> - - -- P 1/1 DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY; x Not Applicable Names Name: Address: Address: City: State:�,._,_, City: Zip: -state: Phone: Zip, _ Phone: FEE SIMPLE TITLE HOLDER: x_.Not Applicable BANNING COMPANY: !,Not Applicable Name: Name: Address: Address: City: City: Zip:. Phone: zip;!.�._Phone: i certify that no work or Installation has commenced prior to the Issuamm of a permit, St.Lucle county makes no repre�entation that is granting a permit will authorize the permit holder to build the subject sructure which i5 in Con list with any appllcab a Home owners Association rules,Wows or and covenants that may r ct or pro telt such structure.Please consult with your We 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 oppmved plans,the Florida Building Codes and St Lucie County Amendments. The following building permit applications are exempt from undmrgoing 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 GINNER:Your failure to Record a Notice of Commencement may result In your paying twice for improvements t r property,A Notice of Commencement must be recorded and posted on the jobslte befoxe the.fl ms Gtion.If you intend to obtain financings consult with ten r an attomey before Comment: or recordingyqur Notice of Commencement. ! z S Signature of Owner/Lessee/Agent Signature iiMntractoitll Icarde Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF uTttae COUNTY Of sTulan The forgoini:Instrume was nowledg ! afore me this s O,rgodaIng instrume t was kn4wixdgo � mg�rfr, this lU day of xQ t�V iiultJr !j Ile this day of ,.RFS cif, \ cg�er r8� S10y � kyLBWHiTE 4 i?. _ t-je= !iYIE�WM r.�.ti.r+, —•— -- �51, t nt}k off• f/, (Marne of person acknowledging) =3* rson acknowledging) z aFF *` •.+ OFF 936050 • — gnaturC of Notary Public-State 4f Flor Jlrtliil�111t�� (S Hato fl of Notary Pubec-State of •.....+•• �,��` Personally Known�,." R Produced identification�,,,,. Personally Known OR Produced Idenlrri1�n Type of ldenti4icatlon Produced Type of identification Produced Commission No. F",� (Seal) Commission No. FFINm (Seal) I Reviscd 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAM ON SE'ATURTLI MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ATE COMPLETE INITIALS i ! ! t t