HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: � 16 q —o
SGANN
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8�bl prna rkt' RECEIVED
Building Permit Application APR 12 9AIR
Planning and Development Services
Building and Code Regulation Division I ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof
Address: 2404 Newport Dr Fort Pierce, FL 34982
1
Legal Description. ORANGE BLOSSOM ESATES-2ND ADDN-2ND PLAT BLK 8 LOT 7 (0.19 AC) (OR 1364-1266)
Property Tax ID #: 2421-609-0028-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: I Right Side:
Remove existing low slope roof
Polyglass - FL1654-R22
Pitch 1.25
Lot No.7
Block No. 8
Left Side:
ng and install polyglass modified bitumen.
Additional work to be ertormed under this pe Imit — check all that apply:
�HVAC 11 Gas Tank 1:1Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing []Sprlinklers Generator Roof
Total Sq. Ft of Construction: 260 S Ft. of First Floor: _260
Cost of Construction: $ 2,400 Utilities:Sewer ❑Septic Building Height:
OWNER LESSEE.
CONTRAC�Tf3R
„�,, ,�
, ��
Name Nella Wright �
Name: Larry Neese
Address:2404 Newport Dr
Company: Larry Neese Roofing, LLC
Address: 506 S. Market Ave.
city: Fort Pierce State:FIL
city: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-979-4353 i
Zip Code: 34982 Fax: 772-361-6581
Phone No. 772-361-6580
E-Mail: rayson.nella@gmail.com
Fill in fee simple Title Holder on next page ( if different
E-Mail: Iarry�a.LNroof. com
from the Owner listed above) I
.I
State or County License: FL CCC1330608
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
RE I
0111
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Alpplicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone: I
I
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 wor
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 ad 'tons,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another on -residential use
WARNING TO OWNER: Your failure t ecbrd a Notice of Commencemen suit i your paying twice for
improvements to your property. otce lof Commencement m e reco ed a d posted on the jobsite
before the fir ction. If u intend to obtain financing, suit wit ender r an attorney before
commen ' wor r recor 'n our Notice of Commen ent.
Signat o Less a ontractor as Agent for Owner
Sig ture of Contractor/Lic a Holder
;r/
S ATE OF FLODA
ST E OF FL rr II-
COU F
C UNTY OF Gi a
The forgoing instrument was acknowledged before me
(F
The fgrpoing instrument was acknowledged before me
I
this jZ day of � ,moo 1' r i 20 by l
this day of _4A-iQ r 20LCby
Lam 1 p e �s -e--
Name of erson making statement
Name of perso ma 'ng statement
Personally Known %Z OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary ice' to gState ° a
(ignature of NoZaRi
mfie /o 176777
4GNotary Public fate of Florida
es 22
Commission N i E fires a(frem�o22
Commission N
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2 176777
022
REVIEWS
FRONT
ZONING
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17