HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Afto
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Date: � ' 3�J 1 9 Permit Number:ID
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�¢a I RECEIVED
Building Pe hli ,pOfltkion
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 Res
MAY 31 2018
ST. Lucie County, Permitting
Idential x
.PERMIT APPLICATION FOR: To Select
from dropbox, click arrow at the end of line
PROPOSED I(ttIPROVEMENTaLOCATCtI�
,
Address: _11.5 1 .3--
Legal Description
Property Tax ID #: j4W —�J Od
Site Plan Name:
Project Name:
Setbacks Front Back:
ight Side: Left Side:
Lot No._
Block No.
"wq ; "-�°`-Q� r�o,.Q ns�� w I►ti., �e� (-E c�
Haamonai worK to nje rtormea under this permit —check all apply:
11HVAC L_I Gas Tank Gas Piping _ Shutters Windows/Doors
Electric ❑ Plumbing []Sprinklers Generator Roof u
Total Sq. Ft of Construction: � "yC) S Ft. of First Floor: _
Cost of Construction: $ : r � Utilities: Sewer [] Septic
Name Dennis J Noelke LLC
Address: 5305 Deer Run Dr
City: Fort Pierce State: FI
Zip Code: 34951 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Richard A. Newland
Building Height:
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
I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FI
•
DESIGNER/ENGINEER:
Name: _
Address:
City: _
Zip:
Not Applica
State:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
ate:
Not Applicable
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, l�igns, 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.
s
_ gnature of Owner/ Lessee/Agent Sig a ure of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLude
The forgoing instrument was acknowledged e,fore rr
thiQrday ofMoj&20 Mby
t
of person acknowledging
(Signature of Notary Public- State of Florida )
,I
Personally Known rod��yga�yl��idiifii8i�torida
Type of Identification P via P Sanderson
My CQmmissioH GG 211256
Commission No`cJV Expire 0a'?p12022
_ 1, I
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF StLude
The forgoing instrument was acknowledged before me
thZt day of 20 ]Eby
iU&-4) loJ
(Name of person acknowledging)
illqjl
(Signature of Notary Public- State of Florida )
Personally Known L�
Type of Identification P Notary Public State of Florida
Via—? San e s r
� � 1 My C:.--m ssion GG 211256
Commission No. �� Exp res �Se91�22
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