HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Dater 1 I Permit Number. 11 Oa' O 3A1
RECEIVED FEB 172017
SCANNtL,
BY
Building Permit Application St LucieCnllnf,
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 X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENT LOCATION:
Address: 1201 SE LENNARD RD
Legal Description: STW=WDo 3a M41 mxz�sam My IM15M s:T�M.NN NUN NEso =YIN W SEC Eu NSE IBAdM. SOY 11•IN IMENE 1< Wx MNEmNnuvr02r SEM
Property Tax ID #: 341450130030000
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.1-15
Block No. 2
Remove Existing TPO roof covering and install modified bitumen roof covering on flat modular
concrete building roof deck ( W s61*.
Pitch 0.125/12
CONSTRUCTION INFORMATION:
itiona worKtooenertormed under tispermit—check all apply:
11HV1 Gas Tank []Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator RI Roof
Total Sq. Ft of Construction: 288
Cost of Construction: $ 2900.00
S Ft. of First Floor: _
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County
Name: Larry
Address:2300 Virginia Ave
Company: Larry Neese Roofing, LLC
City: Fort Pierce State:FL
Zip Code: 34982 Fax:
Phone No.772-462-2567
Address: 2801 Sunrise Blvd.
City: Fort Pierce _ State: FL
Zip Code: 34982 Fax: 772-361-6581
Phone No. 772-361-6580
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: larry@LNroof.com
State or County License: FL CCC1330608
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Recor otice of Commencement may result in your paying twice for
improvem property. A No ' of Commencement must be recorded and posted a jobsite
before a first inspe ' ion. If you end to obtain financing, cor wit-vir"Ir der or an a ney before
of
OF FLORI
ryn \.oc-%
The forgoing instrum nt was acknowledged before me
this\ day of 20 XJby
OF FLORID
FYOF_
The forgoing instrume was acknowledged before me
this\l day of�W 20 1]—by
\-g 41,-� 1) L4<tv *4tk.S
(Name of person acknowledging) (Name of person Acknowledging)
(Signature of Notary PublibJState of Florida j (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known •••" ,produ
Type of Identification Type of Identificatio . b „ erj,� 'D�IEGIVENS
^CM1.R'•• :o: EXPIRES: Dece �022023
DEANNAMARIE GNENS g,„�, rryappeerr 16, 2020
Commission No. 1""Co Commission No. 1`o'7�Th"'N(�G6ro unaemrNrs
(d3@6ON # GG OI2023
?ry....., PEXPIRES: December 16, 2020
..,, Bonded Thm Notary Rmc,. u.w.,_._.-_
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
b/4
COMPLETE
j
INITIALS