HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATI@&TLQ EPTED q
Date: ����1 ��� BYPermitNumber: 116a-53 1
St. Lucie Countv
RECEIVED FEB 172017
Building Permit Application
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 R ap� III
PROPOSED IMPROVEMENT LOCATION:
Address: 1201 SE LENNARD RD
Legal Description:
Property Tax ID #: 341450130030000
Site Plan Name:
Project Name:
TXRNIN�OEGb WXtl3ECENGX 5[fL 13A9 R.M 301£011 YMI®FLE ILL�'AFITONE CgIIMLTGtF6L5EC11
Lot No.1-15
Block No. 2
Setbacks Front Back: Right Side: Left Side: I)
DETAILED DESCRIPTION OF WORK:
Remove Existing TPO roof covering and install modified bitumen roof covering on flat modular
concrete building roof deck Cic%s4>
Pitch 0.125/12
CONSTRUCTION INFORMATION:
rtiona WorKtol3e ertormed under tispermit—check all apply.
LIHVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
11 Electric F-1 Plumbing Sprinklers Generator Ri Roof
Total Sq. Ft of Construction: 288
Cost of Construction: $ 2900.00
S Ft. of First Floor: _
Utilities: Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name St. Lucie County
Name: Larry Neese
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: IarrvlcDLNroof.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: III
DESIGNER/ENGINEER: _ Not Applicable
Name:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 failu o Record a Notice of Commencement may result in you aying twice for
improvements to your prope . A Notice of Commencement must be recorded and sted on the jobsite
befo�p.tiTc fist inspection. you intend to obtain financi onsult •th lender o n attorney before
Of
OF rYOFOS'r/• Wc�C I COI TYOFOE OF A �•ve to
The forgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this_%�dayofe� 20q—by this %J_day of+X— 20)T_by
La tlry N�-P &V¢ La'Cty 0-it e.3e
(Name of person a knowledging) (Name of person acknowledging)
(Signature of Notary ublic-State of Florida )
Personally Known
OR Pro uced Identification
Personally Known o '
Type of Identification
•:•
Type of Identification P t°fc�{,��MaRIE
GOiFN
.• :aq•":., D INAM
�r_�"'r•ZDI:IM'sssI0N#GG
.a.- EXP
022023
Commission No.
�ii ' MY COj I$SION#GG 022023
•. �
Commission No. fionded n0oltltYai(�
a0�geMber 16, 2020
.EXPI mbar 16, 2020
fiyj
Pubrx Undervniters
BondedThtu Notary Pubik Unden..n-rs
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
3 l�
COMPLETE
INITIALS
a