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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a- 1-1- 1-1 SCANNED Permit Number: M lL ©nl J ,f Lucie CountV RECO ED Building Permit Application FEB 1 7 2017 Planning and Development Services Building and Code Regulation Division PERY7ITTI1\JG 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERM IT APPLICATION FOR: Roof Address: 900 N ROCK RD FORT PIERCE Legal Description: 11 35 39 NE 1/4 OF NW 1/4LESS N80 FT AND E 25 FT AND E 3/4 OF SE 1/4 OF NW 1/4LESS S 54 FT AND E 25 FT AND LESS ROCK RD AS IN PB 3115 (68.96 AC) (OR 4212150) Property Tax ID #: 231121000000006 Lot No. Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Block No. remove existing TPO roof covering and install modified bitumen roof covering on flat modular concrete building roof deck Pitch 0.125/12 CTION INFORMATION: 1_1HVAC UGasTank E]GasPiping UShutters ❑Windows/Doors 11Electric 0 Plumbing []Sprinklers 11 Generator R1 Roof Total Sq. Ft of Construction: 635 Cost of Construction: $ 5600.00 S Ft. of First Floor: _ Utilities:n 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 Lode: 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-(a)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 TITLEHOLDER: 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 f undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, wall ign's screen rooms and accessory uses to another no - Il use WARNING TO OWNER: Your failure to cord a Notice of Commencem result! our paying twice for improvements property. A tice of Commencement be reco ded d posted on the jobsite before t st inspe Ion. If you i tend to obtain financing, 0nsult with nder or an attorney before comme cinl work recording v ur Notice of Commence ent. _ Signature STATE OF FI COUNTY OF The for oing instas acknowledged before me this dayof \r�e w� .20'Jby person Personally Known V OR Produced Identification Type of Identification Produced Commission No. (Seal) Revised 07/15/2014 _ Commission# FF 115637 , MY Commission Expires STATE OF COUNTYI The forgoing instru as acknowledged before me this4dayof�20 L7by VVua . (Name of person ac ovule Bing ) A.Q AA c ` t I O ,'— (Signature of Notary Public- State of Florida ) Personally KnownyubOR Produced Identification Type of Identification Produced l Commission No. Cl')Ibty�5 (Seal) 11mssion p FF ; ,: MY Commission Erp„ 1 June 12, 201,4 REVIEWS FRONT COUNTER PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW ZONING REVIEW SUPERVISOR REVIEW DATE COMPLETE 2 / n 3 7 i T- INITIALS