HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: aA n 1 Xl Permit Number:
RECEIVED FEB 1 72017
Building Permit Application aGBY ED
Planning and Development Services St. Lucie County
Building and Cade 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 - Q�o� III 'PROPOSED IMPROVEMENT LOCATION:
Address:6120 Glades Cutoff Rd
Legal Description: 35/35S/39E
Property Tax ID #:233544100010007
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
I. DETAILED DESCRIPTION OF WORK- I IIII
Remove Existing TPO roof covering and install modified bitumen roof covering on flat modular
concrete building roof deck
Pitch 0.125112
CONSTRUCTION INFORMATION: _ Ill
❑Gas Tank
❑Gas
Piping
❑Shutters
❑Windows/Doors
❑
Plumbing
❑Sprinklers
❑ Generator
R1 Roof
Total Sq. Ft of Construction: 311
Cost of Construction: $ 2900.00
SqI FFtt.� of First Floor: _
Utilities: LJ 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.772462-2567'
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: Iarry�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:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 alls, signs, screen rooms and accessory uses to another non-resi ial use
WARNING T ER: Your fail to Record a Notice of Commencement m esult in your ying twice for
improve nts to ur proper . A Notice of Commencement must eccrd d and pos d on the jobsit
befo he first' spection. I ou intend to obtain financing, cons with le er or an or
before
co menci ork or reco ine vour Notice of Commencement
_ Signatu a of Owner/ esseL/Ai
couTN F FLO 1 +V c
The forgoing instrument was acknowledged before me
this-ka- CC 20 -%a-by
STATE OF FLOII r e
COUNTY OFF
The forgoing instrument was acknowledged before me
this %1 day of V�- 20 �3_ by
(Name of person cknowledging) (Name of person acknowledging)
(Signature of Notary Pub -State of Florida) (Signature of Notary P lic-State of Florida )
Personally Known pMhRI
Type of Identificatio EGNEN
t'%TIS�ON00
1E�%PI�RFF7�CS�I� �D mbar 16, 2020
Commission No. ,ryo Ad iMrr wPubrg Ui .'rtit—
Revised 07/15/2014
Known OR Produced Identification
Type of
Commission o¢' �SIGNN�
,___.R _ EXPIRES: Decemberia,2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
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INITIALS
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