HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDf/,, c�3 32
Date: Permit Number: IWO • D
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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 r,
Address: 3122 SUNRISE BLVD Fort Pierce, FI 34982
Legal Description: MARAVILLA HTS BILK B LOT 21 AND N 1/2 OF LOT 23(0.26 AC)(OR 1074-2899)
Property Tax ID#: 2428-601-0083-000-0 Lot No.71 AND N U2 OF LOT 23
Site Plan Name: Block No. B
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF„WORK:
r/0 o SiAJ le-
CONSTRUCTION INFORMATION
Additional workto e e orme under this permit—check a appy:
F,HVAC Ei Gas Tank Gas Pi in _Shutters Windows Doors
❑ P g ❑Windows/
Doors
0 Plumbing ❑Sprinklers ❑Generator a Roof
Total Sq. Ft of Construction: 1839 S . Ft.of First Floor: 1839
Cost of Construction:$ 13,800.00 Utilities:i Sewer Septic Building Height:
OWNERAESSEE CONTRACTOR`:
Name Ro avi Name: Larry Neese '
Address: WE Z /4 Ye Company: Larry Neese Roofing, LLC
City: r,<-F i'i z&e_ / State: r-L Address: 2801 Sunrise Blvd.
Zip Code: 1991 f 2- Fax: city: Fort Pierce State: FL
Phone No. 72 2-3 5 2--&Il el Zip Code: 34982 Fax: 772-361-6581
E-Mail: B_ Lmr� a6z'l ks”, 4m Phone No. 772-361-6580
Fill in fee simple Title Holder on next page(if different E-Mail: larry(CD_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.
SU.P.PLEMENTAL,CONSTRUCTION LIEN LAW,IN FORMATION:
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 fro dergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,s' s,screen rooms and accessory uses to another non-resident! e
WARNING TO OW •Your failure to ord a Notice of Commencement resu t in your pa ' g twice for
impro�em :o your roperty. otice of Commencement must recorde nd post on the jobsite
beforins Ection. If intend to obtain financing,cons with le der or an a orney before
com rk or recor kfig your Notice of Commencement.
s
_Signat a of Owner/L see/Agent Signature of Co actor/Lice se Holder
COU STA E O OF ID� STATE OF Z,4, 4'I'� COUNTY OF IDA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this/_day of7 L MZd&4-20 LO by this / I day of 20 it 1,0 by
kki-gisna 5-aria'AVV14 0-ass-r-4 saki OULOVA
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) Signature of Notary Public- tate of Florida)
Personally Known OR Produced Idenlificati' n Personally Known OR Produced Identification
Type of Identificat o uce Type of Identification Produced
Commission No I`B�° myco�€AISSION#FF904036 HASSNASANA I
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IRES:JUI&, Qig Commission No. y�.J.... ION#FF9Q4036
V.WWII' Bonded through 1st state Insurance EXPIRES:JUL 28,2019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS