HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO YLIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: I Permit Number: J�
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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 IMPROVEM ENT.LOCATION:
Address: 1256 NETTLES BLVD JENSEN BEACH, FL 34957
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION 11 PARCEL 1256 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 1093-946)
Property Tax ID#: 4502-501-1443-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF.WORK:
Remove existing roof covering and install metal roof covering
Pitch 3:12
CONSTRUCTION-INFORMATION.:-
Additional work to e performed under this permit—check all apply:
�HVAC Gas Tank -❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator n Roof
Total Sq. Ft of Construction: 1347 S . Ft.of First Floor:
Cost of Construction:$ 7400.00 Utilities:oSewer Septic Building Height: 2 story
OWN'ERAESSEE: . 'CONTRACTOR:
NameWalter Chapadeau Name: Larry Neese
Address:PO Box 298 Company: Larry Neese Roofing, LLC
City: Great River State:NY Address: 2801 Sunrise Blvd.
Zip Code: 11739 Fax: city: Fort Pierce State: FL
Phone No.516-458-1212 Zip Code: 34982 Fax: 772-361-6581
E-Mail: Phone No. 772-361-6580
Fill in fee simple Title Holder on next page(if different E-Mail: larryOD-LN roof.com
from the Owner listed above) State or County License: FL CCC1330608
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: 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 lender or an attorney before
commencing-Work or recording our Notice of Commencement.
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_Sign re of O ner/Lessee/Agent Signature of Contr or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S i (_,u C4_P_ COUNTY OF 3T
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this IL\ day of NkarrSn 20 .)_by this]�_day of KO,c—c 20 by
4" C_- f'J ec S_� �� 6=�, C°. 0 Cry S e [t
(Name of person acknowledging) (Name of person acknowledging)
( ignature of Notary Public- of Florida) (Signature of Notary Public-Stalfl&iDOorida)
Personally Known ✓ OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced p Type of Identification Produced
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HEATHER RING HEATHER RING
Commission No. IiA'I SION#FF140529 Commission No. e(��MI�fISSION#FF140529
d EXPIRES:July 10,2020
OPFl.�° EXPIRES:July 10,2020 ��°�
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE � 11
COMPLETE
INITIALS