HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: O Permit Number: 1
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RECEIVED
Building Permit Application MAY 31 Z018
Planning and Development Services
Building and Code Regulation Division :T, Lucle 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 from dropbox, click arrow at the end of line
Address:
Legal Descri
Property Tax ID #:-[01-�"�0� ba—bbc-)q -bob j Lot No.
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Site Plan Name: Block No.
Project Name:
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unaer tnls permit — cneck all
apply:
11HVAC
Gas Tank
❑Gas Piping
Shutters
11
Electric
Plumbing
Sprinklers
_
E
Generator
Total Sq. Ft of Construction: .961
Cost of Construction:
S Ft. of First Floor:
Utilities: _ Sewer []Septic
Name Dennis J Noelke LLC
Address: 5305 Deer Run Dr
City: Fort Pierce State: F1
Zip Code: 34951 Fax:
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Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
M
l] Windows/Doors
Z Roof 9,12-P
Building Height:
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 0 Commencement is required.
State: FI
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: j City: State:
Zip: Phone: I Zip: Phone:
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FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: Not Applicable
Name: _
Ad dress_:
City?
Zip:
Phone:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 ands 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 ofiCommencement 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.
_ Signature of Owner/ Lessee/
STATE OF FLORIDA
COUNTY OF STLucie
The forggiw instru nt was acknowledged fore me
this day of 20 Wby
(Name of person acknow edging )
IILIMA41_2S
ignature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of IdentificatioA
Commission
Revised 07/15/2014
Notary Public state of Florida
Amanda erson
My Comm:§sioit G 211256
Expires 04/25/2022
s
Sigtl'ature of Contractor/License Holder
I
STATE OF FLORIDA
COUNTY OF St Lucie
i
The forgng instrum nt was acknowledged efore me
this day of y 20 X by
0v11
((Name of person acknowledging )
I
('Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced _ _ _ _ _ _ __
ir otary Publi t of Florida
Commission NEZZmanila PMrson
My Curnmissioi) GG 211256
Expires04/2512022
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