HomeMy WebLinkAboutBUILDING PERMIT APPLICATION3 •A.
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 Permit Number:
q OC��ED
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Building FIePIAMIP ppIicat1on
Planning and Development Services JAN 2 3 2018
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: cl 2i - Era M a. r` Place FP
Legal Description: WAGNER S/D BLK 2 LOTS 33 AND 34 (OR 3162-559) .3
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Property Tax ID #: 2427-702-0075-000-8 Lot No.33 &34
Site Plan Name: Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:,
DETAILED DESCRIPTION OF WORK:
Removing existing shingle roof covering and installing new Metal roof covering
'Pitch 3:12
CONSTRUCTION .IIVFORMATION:
ACIClitional work to e nartormed under
E1HVAC Gas Tank
this permit — check
Gas Piping
all
that apply:
_ Shutters
Q Windows/Doors
nElectric 0
Plumbing
O Sprinklers
11 Generator
Roof
Total Sq. Ft of Construction: 2073
S . Ft. of First Floor:
Cost of Construction: $ 8000.00
Utilities:
Sewer
[]
Septic
Building Height:
''OWNER/LESSEE
CONTRACTOR
NameVirginia A Fisher
Name: Larry Neese
Company: Larry Neese Roofing, LLC
Address:797 Bent Creek Dr
City: Fort Pierce, State:FL
Address:. 506 S. Market Ave.
Zip Code: 34947 Fax:
City: Fort Pierce State: FL
Phone No.772-260-0260
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: larry-(a)_LNroof. corn
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: -
DESIGN ER/ENGI NEER: _ 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
improvement gourpr�operty. A No ' of Commencement must be r ed and posted o the jobsite
before t first irispecti . If yo end to obtain financing, cons ith lend r or an a ey before
com ncin work ecor " our Notice of Commenceme .
_ Signat re of Own see ent Llolp of Contractor a Holder
STATE OF FL IDA STAT FLO
COUNTY OF _ [--u 2 COUNTY OF I_Uc:1-e_
The forgoing instrument was acknowledged before me I The forgoing instrument was acknowledged before me
this 7ri day of Xk,, _L 20 Eby this IF day ofaL611 U L�20 Ll— by
Larru hk-t._� LkInA I CSC
(Name of pe on acknowledging) (Name of perMn acknowledging)
(Signature of Notary Public- S of Flo 'da )
Personally Known OR Produced Identification
Type of Identification Produced
Commission
Revised 07/15/2014
(SigVikure of Notary Publorilic- State F)
Personally Known ✓/ OR Produced Identification
Type of Identification Produced
W,ATHER RING ommission No. 2 F�_ ea'hEAT1MER RING
COMMSSION # FF14052 EXPIRES: July 10, 2020 My COMMISSION# FF1405
,� FXMIFS: July 10. 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS