HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 1, 2019 SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
Planning and Development Services
d�(pe7
RECEIVED
JUN 12 2019
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 J St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial I" Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click here
PROPOSED) MPROVEM ENT LOCATION:
Address:,LS52MDRIO RD FORT PIERCE
Legal Desa ptioh:4H4 39 E 1/2 OF NW 1/4 AND ALL SW 1/4 (244.27 AC) (OR 3104-292)
Property Tax ID #: a 420 21 q 0001 9994 131 $ ^ f 1 1 _ 60n I nn go :7 Lot No. n/a
Site Plan Name: Block No. n/a
Project Name: ADA Ramp
Setbacks Front Back:
Right•Side:. Left Side:
DETAILED DESCRIPTION OF WORK: III
Construction d_ wAiv-I!e A ramp located at Scale House Building
(13700) l>J l/
CONSTRUCTION INFORMATION:
Aaartiona wor to e e ormed un -checkerthispermrt a a apply:
�HVAC 11GasTank ❑Gas Piping Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 5.500
S Ft. of First Floor:
Utilities.. Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Namelndrio Holdings LLC :
Name: LARRY NEESE
Address-+626-9ettT-AVL' -moly
OUAM go
Company: LARRY NEESE, LLC
F`4efe-Be"cc-h— FL
-City: _ State: _
Zip Code: S29 3 ax:
Phone No. M: (772) 360- 11
Address: 3401 S. US HWY 1
City: FORT PIERCE state: FL.
Zip Code: 34982 Fax:
Phone No. 772-361-6580
E-Mail:fortpierce@sterwartmaterials.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail: Iarryneeserooflng@gmall.com
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
J
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 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
WARNING TO OWNER: Your failure to ord a Notice of Commence t in your mg twice for
le
improvements to your property. otce of Commencement must a recorded nd on the jobsite
before the first inspection. If y intend to obtain financing, consult ith lend or attorney before
commencingor ecord" our Notice of Commencement.
Rev.8/2/17
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
DESIGNER/ENGINEER:
Name:
xx 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:
Signatur of Owner/ ee/Contractor as Agent for Owner
Signature of Contractor/Lice se Holder
STATE FLORIDA
STATE OF FLOR
COUNTY OF St. Lucie
COUNTY OF St Lucie
The forgoing instru nt was acknowledged before me
I :.1 �
The f rgoing instrLL�nt acknowledge before me
� day
this 1 day of 20� by
this of tJ u . 20� by
Larry C Neese
Larry C Neese
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature f otaryPu io- eof�8�i�� �GGzats+s
(Signature f otaryPubli .
11�� Expir • 07l 512022
Ncbry Pudic S101Y or FbriEs
Commission No. I.IC Fi I
•
Commission No Y(�f�
� MY (.1Tr10�Esgn GCi 24/075
Q, �dF Expires 0725r1022
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