HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: 5824 TRAVELERS WAY, FORT PIERCE
Legal Description: PALM GROVE S/D BLK D LOT 30
Property Tax ID #: 3410-503-0126-000-1
Site Plan Name:
Project Name: NELSON/REROOF
Setbacks Front Back:
I DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 30
Block No. D
TEAR OFF SHINGLE, RE -NAIL DECK. INSTALL NEW OWENS CORNING SHINGLE ROOF
SYSTEM OVER 30# FELT LINDERLAYMENT. (34SQ / 5/12 PITCH )
Additional work to be ertormed under this permit — check all apply: -
HVAC 11 Gas Tank FGas Piping _ Shutters ❑ Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3400 S Ft. of First Floor: 1450
Cost of Construction: $ 8,500 Utilities: Sewer Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name LARRY NELSON
Name: KYLE WHITE
Address: 5824 TRAVELERS WAY
Company: J.A. TAYLOR ROOFING INC
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-242-1774
Address: 302 MELTON DR
City: FORT PIERCE State: FL
Zip Code: 34982 Fax: 772-468-8397
Phone No. 772-466-4040
E -Mail: LARRY.NSLN@GMAIL.COM
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
If vdIue or construciion is >c_-)uu or more, a KMLIKutu 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 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 inspection. If you intend to obtain financing, consult with len or an attorney before
commencing; wwrkt�ordina vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this JJ0ay of O -A t7 20 1by
KYLE WHITE
(Name of person acknowledging )
(S�i/naturYof Notary Publi6- State of Florid�ea p4i11i111
lgp1jdf
,\\� WAN
Personal) Known X OR Produ \�i ��h'
Y G �
Type of Identification Produced �s�o
ANO*z
Commission No. FF936050
Revised 07/15/2014
Uc' SS p
11;iIi1iN
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this a day of 20 a by
KYLE WHITE
(Name of person acknowledging )
1�1//O A�J -.a A//)
(Sig ture of Notary Public tate of Florida.
�tit19� il;iPlli/;fly: _
Personally Known x OR Prodtfl c `
Type of Identification Produced :r-�zg
Commission No. FF936050
% *FF 936050
C STAIE'
illh;I11I11%)
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INITIALS
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address:
Parcel ID:
Account #:
Map ID.-
Use
D:Use Type:
Zoning:
City/County:
Ownership
Larry L Nelson
Debra K Nelson
5824 Travelers Way
Fort Pierce, FL 34982
Legal Description
PALM GROVE S/D BLK D LOT 30 (0.12 AC) (OR 3471-653)
Current Values
Just/Market Value: $107,500
Assessed Value: $46,064
Exemptions: $25,000
Taxable Value: $21,064
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF 12
5824 TRAVELERS WAY
3410-503-0126-000-1
133245
34/1013
0100
PUD
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,450
Gross Area (SF): 1,972
Land Size (acres): 0.12
Land Size (SF): 5,227.2
This information is believed to be correct at this time but it is subject to change and is not warranted.
O Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved.