HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I I
D te: 1D �' �� Permit Number:
gIR RECEIVED
- OCT 0I 2018
Building Permit Application
ST. Lucie County,
Pll nning and Development Services I Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PEI�MIT APPLICATION FOR: Roof
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wmg
Address:
2325 Jernigan RD Fort Pierce, FL 34945 M Lucia c'®ft
Legal
I 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 Irlan Name: Block No. C S 504
Project Name: Holtzclaw Detached Garage
--_,
Setbacks Front Back: Right Side: Left Side:
Remove existing roof covering on Detached Garage.
Extreme Metal Standing Seam - 20378.2,
Titaijium PSU - FL11602-R5
1001
Add itional work to e pertormecl unclertnis permit — check a t t apply:
E1HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
_
EElectric F-1 Plumbing ) []Sprinklers 5/12 Roof
Generator Roof pitch
TotallSq. Ft of Construction: 2300 S . Ft. of First Floor: 2300
Cost of Construction: $ 16 000 _ Utilities: _Sewer Septic Building Height:
OR
2E 1 IRPISRA
NamePhillis Holtzclaw
Name: LARRY NEESE, LLC
Address:2325 Jernigan Road
Company: LARRY NEESE, LLC
Address: 506 S MARKET AVE
City: Fort Pierce State:FL
ZipClode: 34945 Fax:
City: FORT PIERCE State: FL.
Phone No. 772-801-5489
Zip Code: 34982 Fax: 772-361-6581
E-Malik
Phone No. 772-361-6580
E-Mail: LARRYNEESE@LARRYNEESE.COM
Fill in fee simple Title Holder on next page ( if different
State or County License: CCC1330608
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of commencement is required.
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
_
Address:
Address:
City:
State:
City: State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
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 ar xempt from undergoing a full concurrency review: room additions
acceslsory structures, swimming pools, fen s, walls,•signs, screen rooms and accessory uses to another non'den use
WARNING TO OWNER: Your fail a to Record a Notice of Commencement m result in yo paying twice for
imp lovements tome proper . A Notice of Commencement must ecord d and osted on the jobsite
before the fs insp ion. I ou intend to obtain financing, co It with le er or n attorney before
com en g wor r recor ing your Notice of Commencem t.
I
I
Sign'ature of Owner/ Less / ontractor as Agent for Owner
Signatu of Contractor/Li rise Holder
STP�TE OF FL A
ST E OF FLO
LNTY
CO
efore me
The'f r ing instr en was acknowledg*by
The f r oing ins tr en was acknowledged before me
tv day of � 20
this day of 20JXby
Nt
Name of 11eAn making statement
Name6f pa�rsp n making statement
Personally Known OR Produced Identification
Personally Known CX OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
I
ANJ
(Signatu f Notary Public- State of Florida )
(Signature Notta/ary Public- State of Florida)
Commission No.v-7ay1 LF
Notary
C m sion No. P AMeofFlorida
arm Public State of F
+P Amy N Wood4rr
ncPe N W
Onlmlesioo GG 241645
TYA
MJ. Commission GG 24
645 �f es 07I25/2022
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REVIEWS• FRONT I S E VI OR
LA S VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
1
RECEIVED
DATE
COMPLETED
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Rev. 8%2/17