HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
ALL APPLICABLE INFO
Eli te: Permit Number:
I
RECEIVED
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Building Permit Application OCT 0 12018
Pl Inning and Development Services
But and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
PhI one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof NED
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Address: 2325 Jernigan RD Fort Pierce, FL 34945
Legal Description. FORT PIERCE GARDENS OF 21-35-39 BLK C S 504 FT OF N 1038.6 FT OF BLK-LESS RD RNV-(6.82 AC) (OR 4008-458)
Property Tax ID #: 2321 -501 -0029-000-9 Lot No.
Site Plan Name: Block No. C S 504
Project Name: Holtzclaw Pump House _
Setbacks Front Back: Right Side: Left Side: F
Reml,ove existing roof covering on Pump House
Extreme Metal Standing Seam - 20378.2
Titanium PSU - FL11602-R5
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Additionalwor to e neormed uncler t Is permit— cnecK all that apply:
11HVAC I]j Gas Tank Gas Piping ILJI Shutters Windows/Doors
Electric O.Plumbing Sprinklers F]Generator Roof 5/12 Roof pitch
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TotaliISq. Ft of Construction: 200 Sq. Ft. of First Floor: 200
3500 Utilities: Sewer Septic Building Height:
Cost of Construction: $
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NamePhillis Holtzclaw
Name: LARRY NEESE, LLC
Company: LARRY NEESE, LLC
Address:2325 Jernigan Road
City: Fort Pierce State:FL
Address: 506 S MARKET AVE
Zip Ci de: 34945 Fax:
City: FORT PIERCE State: FL.
Phone No.772-801-5489
Zip Code: 34982 Fax: 772-361-6581
E-Malii.
Phone No. 772-361-6580
E-Mail: LARRYNEESE@LARRYNEESE.COM
Fill in
fee simple Title Holder on next page ( if different
from
the Owner listed above)
State or County License: CCC1330608
If valu
I of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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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:
Not Applicable
Name:
_
Name:
Address:
Address:
Cit�j :
City:
Zip Phone:
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 work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from and oing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, een rooms and accessory us n r non-residential use
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WARNING TO OWNER, Yo r to Recor Notice of Commenceme may result in our payin Ice for
improvements to yo operty. Notic f Commencement must a recorded a posted n the jobsite
before the first i ection. If u inten to obtain financing, cons t with lend or an att ney before
commencinl? rk or rec inE vour otice of Commencement.
Sign'afure'of ner/ Lessee/Cont c r as Agent for Owner
Signature of C ntractor/Licen older
STATE FLORID
COONT OF
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STATE OF F
COUNTY OF �-.LLICA
The f r ing instru ent w ackgowled a before me
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The or oing instrument a cknowled before me
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Larru
Neapsnc.
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Name of per on friaking
statement
Name o ,er�spn making statement
Personally Known
OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
SignaturbilNotary Public- State of Florida )
(Signature of otary Publi t
Commission No.-�C
ublie State of Florida
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mmission NoV Not�r�tk0��icStateofFlorida
gc; My Commission GG 241645
Expires 07/25/2022
Amy N Wood
y My Commission GG 241645
Do j Expires 07/25/2022
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