HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: 3 J O Permit Number:
RECEIVED
As
BuilNrmit Application MAY 31 2018 .
Planning and Development Services ST. Lucie County, Permitting
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
Address: b 0 qm=�) 1..XX P 0
Legal Description
Property Tax ID #: j �} aS--� p2-b ba - ebb - b Lot No._
Site Plan Name: Block No.
Project Name:
Setbacks , Front Back: Right Side: Left Side:
Haamonai worK to Dje
11HVAC
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Gas Tank
unaer tnis permit— cnecK all
E]Gas Piping In
apply:
Shutters
Windows/Doors
_
FlElectric ❑ Plumbing
Sprinklers
I Generator
W1 Roof 4,14
Total Sq. Ft of Construction: _ ` C,
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S . Ft. of First Floor:
Cost of Construction: $ !Q' Q UtilitiestSewer
El Septic
Building Height:
Name Dennis J Noelke LLC
Address: 5305 Deer Run Dr
City: Fort Pierce State: FI
Zip Code: 34951 Fax:
Phone No.
i
E-Mail:
Fill in fee simple Title Holder on next page (-if different
from the Owner listed above)
Name: Richard A. Newland
Company: Richie the Roofer
Address: 905 S 13 St
City: Vero Beach
Zip Code: 32962 Fax: _
Phone No. 772-473-6197
E-Mail: richieroofer@yahoo.com
State or County License: CCC058021
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FI
SURPLEMENTAL CONSTRUCTION';
LA11U INFC?RMATION
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DESIGNER/ENGINEER:
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Not
Applicable
_
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone:
Zip: Phone:
i
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 your Notice of Commencement.
_mature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OFSTL.de
The c�r� instru nt was acknowledged fore me
this day of 20by
�1
me of person acknowledging)
6ff L6410 :a�
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
Sst2rgtPublic Stag@*611da
manda P Sanderson
v Commission GG 211256
se H
STATE OF FLORIDA
COUNTY OF sc Lucie
The forgoing instrument was acknowledged before me
this 4day of 20 1 by
(Name of person acknowledging)
LIM >"
(Signature of Notary Public- State of Florida )
Personally Known 4- OR Produced Identification
Type of Identification Produced
Commission No.CDCa oZ( / oL` Not"lic State of Florida
�� Amanda P Sanderson
'k My Commission GG211256
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