HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 01'y
Building Permit Application DEC 0 8 Z017
Planning and Development Services
TING
Building and Code Regulation Division Lucie
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION F•'
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Address: 1520 MALLARD COURT, FORT PIERCE
Legal Description: NORTH FORK ESTATES S/D LOT 11
Property Tax ID #: 3409-503-0014-000-9
Site Plan Name:
Project Name: VAUGHN/REROOF
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW 5V CRIMP METAL PANEL ROOF
SYSTEM OVER 30# FELT UNDERLAYMENT (4/12 PITCH)
Additional work to be wormed under tnis permit — cnecK all apply:
EIHVAC ff Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 4,700 S Ft. of First Floor: 2,540
Cost of Construction: $ 13,600 Utilities:'n Sewer USeptic Building Height: 1 STORY
Name JAMES VAUGHN I Name: KYLE WHITE
Address: 1520 MALLARD CT
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-216-3001
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Companv: J.A. TAYLOR ROOFING INC
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E-Mail: NADINE@JATAYLORROOFING.COM
State or County License: CCC 1325895
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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IaN LIEN LAIN
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DESIGNER/ENGINEER: x
Name:
Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City:
Zip: Phone:
State:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
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 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 property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectio you intend to obtain financing, consult with lende n attorney before
commencing w e ding your Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF sT LUCIE
The forgoing instr ment was pcknowledged before me
this day of WPM Jner 20 LIby
KYLE WHITE
(Name of person acknowledging )
Notary Public-5fate of Florida
Personally Known x OR Prod
Type of Identification Produced_
Commission No. FF936050
se Holder
STATE OF FLORIDA
COUNTY OF sTLucIE
The forgoing instru ent was acknowledged before me
this � day of 20 fl_ by
KYLE WHITE
(Name of person acknowledging )
Notary Public- State of Florida )
o rS ®� �o_ Personally Known x OR Produced Idgig��kl�diltr
Type of Identification Produced
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Commission No. FF936050 d ���er 16
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