HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �( I
Date: _ �' () 1 O &JPermit Number: U
V—
�jBY lieL� RECEIVED
Building PerrWitiA06,110tion MAY 3 12018
Planning and Development Services
Building and Code Regulation Division 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: To Select
°PROPOSrrt4bl l,1MPR01/EME'h1T COCATIOi\
Address:
Legal Description�fm, Luboq l+
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Property Tax ID #: �4 aR—
Site Plan Name:
dropbox, click arrow at the end of line
—`r Lot No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Block No.
Haaitionai work to ne errormea unaer tnis permit— I checK all apply:
E:IHVAC Gas Tank ❑Gas Piping In _ Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers M Generator Roof
1 'I'
Total Sq. Ft of Construction: i J ,may S . Ft. of First Floor: _
Cost of Construction: $ 7y �. U v Utilities: -Sewer Septic
Building Height:
OWNER/LESSEE
CONTRACTOR
nM e>
Name Dennis J Noelke LLC
Name: Richard A. Newland
Address: 5305 Deer Run Dr
Company: Richie the Roofer
Address: 905 S 13 St
City: Fort Pierce State: Fl
Zip Code: 34951 Fax:
City: Vero Beach State: FI
Phone No.
Zip Code: 32962 Fax:
E-Mail:
Phone No. 772-473-6197
Fill in fee simple Title Holder on next page (if different
E-Mail: richieroofer@yahoo.com
State or County License: CCC058021
from the Owner listed above)
IT value oT construction is >z5uu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION L'fEN LAW INFORMATION:
a
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: Applicable
Name:
_Not
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I
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, sigis, 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.
s
_ gnature of Owner/ Lessee/Agent
Sig a of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST Lucie
COUNTY OF SlLude
i
The f rgoo instrument was acknowledge efore me
this day of MOLAIYLrby
The forgoing instrument was acknowledged before me
this .2 day of 20 by
� �c�d �a.r� I
(Name of person acknowledging)
(Name of person acknowledging )
ignature of Notary Public- State of Florida)
(Signature of Notary Public- St to of Florida )
Personally Known H�$,codLK&§WQbQ6( fsta1IiWF1ohda
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Personally Known ,ErodM&g4 i�•�C, P, .
Type of Identification P i Amanda Sanderson'
Type of Identification Amaa P Sanderson �•
• y commission
Commission No xpires U4125/2022
S al
�f My Cvo.n,ssion GG 211'56 r!
a Expires 0 5(J022
Commission /
01%on OVA ON A
Revised 07/15/2014
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