HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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RECEIVED DEC 18 201�ermit Number: `5 I a-033
•
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
PROPOSED IMPROVEMENT'LOCATION:.
Address: 207 N 37th St Fort Pierce, FI 34947
Legal Description: WILBUWE BLK 8 LOT 16 AND N 15 FTOF LOT 17(0.23 AC)
Property Tax ID#: 240860301070009 Lot No.
Site Plan Name: Block No. 8
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF,WORK:
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CONSTRUCTION INFORMATION:
Additionalworkto eperformed• under t is permit—check a appy:
HVAC Gas Tank Gas Piping Shutters Windows Doors
❑ a ,
❑Electric 0 Plumbing Sprinklers ❑Generator Ft—/] Roof
Total Sq. Ft of Construction: j, 00 5rr Sq. Ft.of First Floor: 2586
Cost of Construction:$ 5800.00 Utilities: 0SewerF1 Septic Building Height: 1-3
OWNER/LESSEE: %�
CONTRACTOR: '
NameCarl & Inez Ward Name: Larry Neese '
Address:207 N#7th Street Company: Larry Neese Roofing, LLC
City: Fort Pierce State:FI Address: 2801 Sunrise Blvd.
Zip Code: 34947 Fax: city: Fort Pierce State: FL
Phone No. 772-464-2463 Zip Code: 34982 Fax: 772-361-6581
E-Mail: Phone No. 772-361-6580
Fill in fee simple Title Holder on next page(if different E-Mail: laU(c LNroof.com
from the Owner listed above) 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: _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 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 failure tgRecord a Notice of Commencement may result in your paying twice pf
improvements to your propert otice of Commencement must be recorded and posted og'vlelobsite
before t inspectio you intend to obtain financing, conder or an a ey before
comencing y1ork or cordin .
our Notice of Commencemen
S
Si a�&Or/Lessee/Agent Signature f COntraC r icense Holder
ATA ST E OF FLO
C UNTYOF 5"�• L-y� %",, COUNT OF
The forgoing instrument was acknowledge efore me The for oing instrument was acknowledged before me
AIL_day of De C, 20 V by this day of ;—,c 20 );5_by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pubk--State of Florida) (Signature of Notary Public-State of Florida)
C.
Personally Known
Personally Known
Type of Identification Produced
P e ; �6' Type of Identification Prod ORProducedced�lde�f DEAN R \ e i Florida
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Notary EXp�r EE$5a pss .•. ,``«.na9���- Notary ExPicesDeo �
Commission No.�� Q'':My m rs n a`onat �arY s. ELI S �, '�0® mission EE aoaarY As
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Revised 07/15/2014
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