HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
.r
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:
Address: 8301 PASO ROBLES BLVD, FORT PIERCE
Legal Description: LAKEWOOD PARK UNIT 8 BLK 90 LOT 24
Property Tax ID #: CONFIDENTIAL
Site Plan Name:
Project Name: COOPER/ REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW OWENS CORNING OAKRIDGE SHINGLE
ROOF SYSTEM OVER 30# FELT UNDERLAYMENT (34 SQ / 5:12 PITCH)
CONSTRUCTION INFORMATION:
�Cddit10na work to be performed under this oermit — cF-ecF7a tat aoo v:
LJHVAC L_=J Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 3400
Cost of Construction: $ 9,350.00
Gas Piping
Sprinklers
UShutters
❑
Generator 21
Windows/Doors
Roof
U
S Ft. of First Floor: 2785
Utilities: Sewer E]Septic
Building Height: 1 FL
OWNER/LESSEE:
CONTRACTOR:
Name GROVER COOPER
Name: KYLE WHITE
Address: 8301 PASO ROBLES BLVD
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 561-400-0862
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC 1325895
it value or construction is yzsuu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 ermit holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules, bylaws or andpcovenants 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 toynuUroperty. A Notice of Commencement must be recorded and posted on the jobsite
before ti rslfhspeSbn. If you intend to obtain financing, consult with lendei; en attorney before
_ Signature of Owner/ -
STATE OF FLORIDA
COUNTY OF sr LUCIE
The f�ofgoing instru� nt, ,wa^s aacknowledg before me
this _L(o day of �, 201 Qby
KYLE WHITE
(Name of person acknowledgir
VSn4at4re
of Notary u ic- 51
Personally Known x OR
Type of Identification Produce)
Commission No. FFS36050
Revised 07/15/2014
p0er
ieal)
STATE
STATE OF FLORIDA
COUNTY OF STLUCIE
The fqof g�oing instrumen2twas acknowledg before me
this L day of 0 tie 20 �y
KYLE WHITE
game of person acknowledging )
A . /:_
of Notary Public- State
Personally Known x OR
Type of Identification Produce
Commission No. FF936050
AFF 936050
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