HomeMy WebLinkAboutBuilding Permit Application 9 L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-5-2017 Permit Number:f-in 0,44-,
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: To Select from dropbox, click arrow at the end of line
PROP05ED IMPROVEMENT LOCATION: "a
Address: 2548 Seneca ,L
Legal Description: SAN LUCIE PLAZA S/D-UNIT ONE-BLK 1C(2548,2554 SENECA AV)S 12.6 FT LOT 15 AND 54 FT VAC LOWELL RD LYG
BTW BLKS 1 C AND 1 D ANDBLK 1 D N 4.6 FT LOT 16 (MAP 14/33N) (OR 2088-2782)
Property Tax ID#: 1428-702-0017-000-4 Lot No.
Site Plan Name: Noelke Block No.
Project Name:
Setbacks Front' Back: Right Side: Left Side:
DETAILED`DESCRIPTION OF WORK:,
Tear off shingle roof Install Peel and stick and 5 v metal roof
5 V Crimp FI 17022-R6 Tri Built Peel and stick FI 16048-R3
CONSTRUCTOON INFORMATION
Additional work toe e orme under this permit—check a ppy
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❑HVAC E]Gas Tank Gas Piping MGenerator
Shutters !' Windows Doors
❑ p g /Electric 0Plumbing Sprinklers �Roof
Total Sq. Ft of Construction: 2500 SFt.of First Floor:
Cost of Construction:$ 8850.00 Utilities: Sewer E]Septic Building Height: 15'
O-WNER%LESSEE: CONTRACTOR
..
Name Joe and Gina Noelke LLC Name: Richard A. Newland
Address:480 River Prado Company: Richie the Roofer
City: Fort Pierce, State:FL Address: 6704 Santa Clara Blvd
Zip Code: 34946 Fax:216-0259 City: Fort Pierce State:FL
Phone No.772-321-5951 Zip Code: 34951 Fax: 866-610-8652
E-Mail: Phone No. 772-464-4329
Fill in fee simple Title Holder on next page(if different E-Mail: dchieroofer@yahoo.com
from the Owner listed above) State or County License: QCC058021
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION,:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Richard A Newland Name:
Address: 905 13th st sw Address:
City: Vero Beach City.
Zip: 32962 Phone: 772-473-6197 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 lender or an attorney before
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Agent ' ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this S day of_ M�Ctv,t, _ 20 Q-by this S- day of (Y' 20 by
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-Sta of Florida) (Signature of Notary Public-Stat f Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
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