HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/28/2021
Permit Number:
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
Address: 8145 Meadowlark Lane
Legal Description: The Preserve at Savanna Club -BLK 44 LOT 3 (OR 4007-1563)
Property Tax ID #: 3425-706-0010-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Tear off existing shingled roof and replace with Owens Duration NOA No 16-0425.01 and Resisto
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11HVAC ! _1 Gas Tank
11 Electric F]Plumbing
Total Sq. Ft of Construction: 2008.36
Cost of Construction: $ 9,500
this permit — check all tnal apply:
❑Gas Piping _ Shutters Windows/Doors
Sprinklers [I Generator Z Roof 3/12 Roof pitch
S Ft. of First Floor: _
Utilities: Sewer R Septic
Building Height: 13
Name Daniel Hearing
Name: Larry Neese
Address: 8142 Meadowlark Lane
Company: LARRY NEESE, LLC
Address: 3401 S. US Hwy 1
City: Port Saint 1 itne State: FL
Zip Code: 34952 Fax:
Phone No.
E-Mail:
city: Fort Pierce State: FL.
Zip Code: 34982 Fax:
Phone No. 772-361-6580
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: IarryneeSeroofing@gmail.com
State or County License: CCC1330608
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
Improvem our property. A Notice of Commencement must be recorded in the public records of St.
Lucie C unt and o ted on the jobs ire fihet ins a ou intend to obtain fiirD(ng, consult
with len y r an aornev bef j commencing work or r cordine voub Notice of Tmencement.
Signa ure of Owner/ Lessee/C ntractor as Agent for Owner
Signature of icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St.Lucie
COUNTY OF St.Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 18th day of February 2024 by
this 18th day of February 202P by
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Name of person mat6k statement.
Personally Known OR Produced Ide ifb:at�ipn
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Rev. 51b/lu