HomeMy WebLinkAboutPERMIT APPLICATION_1501 MALLARD CT_GARY KEYAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
ST. LCiC1E
Gout
F L Q I D A -�+-
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: (L I ju Jaj'05 -
Building Permit Application
Residential
Address: I �n0 1 it V (01 V_tr(_ l " I 1' 6 I YCt'-; t-t..... J`r [ u C"-
Property Tax ID #: (�-t -7 C `�
Site Plan Name:
Project Name:
Lot No.
Block No.
li DSCRIADDE .WK>-
�ir►.�}a.l
New Electrical Meter
Second Electrical Meter
CON'STR�ll'CTI1ON'I FORMATK1 -- -- - - --
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ { i Utilities: —Sewer —Septic Building Height:
OUV'N EJ/LESSEE,: _
CO�NTRA:CTOI'R: - - -
Name 14 ai e 14
Name: iG�Gz G�ir�So�
Address: L, (-)i VYIalle, vak Ct °
ccir�
Company:(I��
Address: 261
City: �1'CPye-- e, State:
22
Zip Code: ;,I�gJ6;9 Fax:
Phone No.
City: �� L- Stater
Zip Code: �� `�� Fax:
Phone No
E-Mail IVI RY by-e-sG
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
S.UPPLEMENTALCONSTRUCTIUN.LiEN LAW 1.N-FORMRTiONr..
____ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER. _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Not Applicable
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name-
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitto do the work and installation as indicated.
1 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 OWNED: 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 recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Signatures 11owner/ Less (Contractor as Agentfor Owner
Signature of-C, ntractor/Lice a Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNT%IOF -,5T- Lttt1-F-:-
COUNTYOF ��Z— Ute—),:5"
The forping instrument was acknowledged before me
JG�yc-e
The forgoing instrurpent was acknowledged before me
llfgday 20 :Z by
this day of , 20 20 by
this of
Name of person making statement
a Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known L-' OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
(Signature of N ry ublic-Sta
atur Not ry Pubi' fi
rpA*1P,&,t, Notary Public State Of Fiori
Shane Alberico
a oSPAY o�e4 Notary Public state of Florida
a Joshgigbppe Aibeaco
COmmiSSiO �hua
CO m NO.
My Commission GG 0208i
ar r�° Expires 09116/2020
s Q�,` My Coffnnmission GG 020879
of ,o Expires 08116l2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATIIRTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
REI✓EIVED
DATE
COMPLETED
Rev. 8/2/17
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1501 MALLARD CT.
12
13
14
OPENING
SIZE
1
72 3/4 X 70 3/4 SH
2
63 3/4 X 26 5/8 FIXED
3
72 3/4 X 70 3/4 SH
4
513/4 X 64 5/8 SH
5
517/8 X 613/4 SH
6
35 3/4 X 24 3/4 SH
7
517/8 X 613/4 SH
)BSC
OPENING
SIZE
8
88 3/4 X 49 3/8 SH
9
35 3/4 X 49 3/8 SH
10
135 3/4 X 49 3/8 SH
11
72 7/8 X 49 3/8 SH
12
25 1/4 X 613/4 SH
13
25 1/4 X 613/4 SH
14
35 3/4 X 24 3/4 SH
)BSCURE