HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7.� I�n Permit Number: 1� 0 S'
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Building Permit Application MAY a a 26
Planning and Development Services
PERMITTING
Building and Code Regulation Division
St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPO,SED5IMPROVEMENT9LOCATI'O'N. .. ,
Address: 6245 ALEXANDRIA CIR, FORT PIERCE
Legal Description: PALM GROVE S/D BLK L LOT 10
Property Tax ID#: 3410-503-0348-000-3 Lot No. 10
Site Plan Name: Block No. L
Project Name: UVA/REROOF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK. .
TEAR OFF SHINGLES. RE-NAIL DECK. INSTALL OWENS CORNING OAKRIDGE SHINGLE
ROOF SYSTEM OVER OWENS CORNING WEATHERLOCK G UNDERLAYMENT.
(33 SQ/5/12 PITCH).
CONSTRUCTION INFORMATIOhI
,.. �...
Additional work toe e orme un er t is permit—c ec a appy:
11HVAC 11 Gas Tank Gas Pipinga_Shutters Windows/Doors
11 Electric ElPlumbingSprinklers E Generator W1 Roof
Total Sq. Ft of Construction: 3300 SFt. of First Floor: 1658
Cost of Construction:$ 10,000.00 Utilities:i Sewer[]Septic Building Height: 1 STORY
°OWNER/LESSEE: fi a,CON
TRACTO'R:
Name ANTHONY&PATRICIA UVA Name: KYLE WHITE
Address: 6245 ALEXANDRIA CIR Company: J.A.TAYLOR ROOFING INC
City: FT PIERCE State:FL Address: 302 MELTON DR
Zip Code: 34982 Fax: City: FORT PIERCE State:FL
Phone No. 772-882-8844 Zip Code: 34982 Fax: 772-468-8397
E-Mail:GRAPESANDPAT5383@AOL.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.
iFS,UIPPLEMENTAL,CONSTR.U.CTION,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:
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 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 Prkor(recording
r property. A Notice of Commencement must be recor posted on the jobsite
before the fir tic n. If you intend to obtain financing, consult with nd ran attorney before
commenci our Notice of Commencement.
s
_Sign ture of Owner/Lessee/Agent Signature of ntractor/L ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrum nt was acknowledged before me The forgoing instrument was a knowledged before me
this day of_ 20��by this day of 20 x��by
KYLE WHITE (( KYLE WHITE
(Name of person acknowledging) (Name of person acknowledging)
( gnature of Notary Public-State of Florida) (S' nature of Notar Public-State of Florida)
11111111111111/11
11111161111 V__11"
Personally Known_�OR Produ\ ,d1 i��i�y ,(fixe, Personally KnownOR Produced ISO tKIR:�RF�V
Type of Identification Produced !�` �P..••••••. F � — Type of Identification Produced
er 1S Fac•: o
Commission No. FF936050 a ) y _ Commission No. FF 936050 = eaj
:• #FF 936050
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Revised 07/15/2014 �NotarySe's1-U\o� 'moi/ �.........�?'�
1111111 1111111
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS