HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:' 4 i'aa`15 Permit Number: \ 50 1 -0 I 1
�• . RECEIVED APR.22 20
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 Residential x
PERMIT APPLICATION FOR: Roof El
PROPOSED IMPROVEMENT.LOCATION:
Address: 115 SE Serenata Ct., Port St Lucie, FL 34983-2136
Legal Description: River Park-Unit 5 BLK 46 LOT 20(Map 34/28N)
Property Tax ID#: 3419-540-0124-000-9 Lot No.20
Site Plan Name: Block No. 46
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF°WORK:
ReRoof Residence 1547 sft of Living Area. Remove Built Up Roof Replace with New Built Up Roof
I: 12 Floe.
CONSTRUCTION INFORMATION:
Additional work to e performed under this permit—cleck all appy:
❑HVAC Gas Tank Gas Piping _Shutters Windows Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator Ft/] Roof (2-
Total
ZTotal Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 11,500.00 Utilities:Sewer[]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Mary L Larres Name: Larry C Neese
Address: 115 SE Serenata Ct Company: Larry Neese, LLC
City: Port St Lucie State: Fl Address: 2801 Sunrise Blvd
Zip Code: 34983 Fax: City: Fort Pierce State:FI
Phone No. 772-878-2056 Zip Code: 34982 Fax: 772-361-6581
E-Mail:n/a Phone No. 772-361-6580
Fill in fee simple Title Holder on next page(if different E-Mail: Lary@LNRoof.com
from the Owner listed above) State or County License: St#CCC1330608 Cc#29238
If value of construction is$2500 or more;a RECORDED Notice of Commencement is required.
SURPLEMENTAL"CONSTRUCTION LIEN LAW INFORMATION': .,. ,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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 ar empt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fe es,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO O ER:Your i ure to Record a Notice of Commencement may result in yo ming twice for
improve s to yo r p erty.A Notice of Commencement must be recorded posted on the jobsite
befor a first in a on. If you intend to obtain financing, u t w1 h len er or an attorney before
co mencin rk o recording our Notice of Commencerhent.
s
_Sign re of Lessee/Agent gnature o ntractor/License Holder
ST TE OF FLORI STATE OF FLORIDA
C UNTY OF iU+�G�X_' COUNTY OF S�.
The forgoing instrumept was acknowledged before me The forgoing instrument was acknowledged before me
this4'�, day o 20by this i01day of ate:i 20 NS by
(Name of persod acknowledging) (Name o owledging)
�je,rew—Z
(Signature of Notary Pu c-State of Florida) ( ignature of Notary Publi -State of Florida) /
Personally Known OR Produced Identifi o4E\vi rsonally Known OR Produced Identification
Type of Identification Produced b NNP �a�e �6? T e of Identification Produced P-g`veZ-S U.-ems t
Q b des deb PSS
Commission No. L ( y ��p�#� �No�a� mmission No.FF ir;I tO�' � K�rneJennifer
P6 it" vod` .\ss o a`\ooa " NOTARY PU
a
-'s. STATE OF FLO DA
oode Comm*FF177661
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Revised 07/15/2014 ;;4.E Expires 11/18/2:18
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