HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,p)er 2
Date: 1 ��-15�_ Permit Number: 9 (of
•
Building Permit Application JAIL 2 8 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 4605 MATANZAS AVE, FT. PIERCE, FL 34946
Legal Description: HARMONY HEIGHTS ADDN BLK H LOTS 8 AND 9(MAP14/31S)
Property Tax ID#: 1431-701-0114-000-1 Lot No.
Site Plan Name: Block No.
Project Name: ESTATE OF ARLINGTON FOXX
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE SHINGLE ROOFING SYSTEM s/ja
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tispermit—c ec a appy:
HVAC Gas Tank 0Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing1:1 Sprinklers E Generator W1 Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ /-y, goo Utilities. Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:-
Name
ONTRACTOR:Name ESTATE OF ARLINGTON FOXX Name: JASON W.NEUMANN
Address:4605 MATANZAS AVE Company: NEUMANN ROOFING, LLC
City: FT. PIERCE State:FL Address: 30427 COMMERCE DRIVE
Zip Code: 34946 Fax: City: SAN ANTONIO State:FL
Phone No. 44x7 = Z.83- Z.aBi Zip Code: 33576 Fax: 352-668-4803
E-Mail: Phone No. 352-668-4875
Fill in fee simple Title Holder on next page(if different E-Mail: CDYAL@NFOC.NET
from the Owner listed above) State or County License: CCC1326166
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 to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
n.... V`� s
igna re of Owner/Lessee/Agent Sig ure o Contractor/License HoRler
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PAsco COUNTY OF PAsco
The for oing instru ent was acknowledgyLbefore me The forgoing instrument was acknowledged before me
this 2-'W day of a�1 20 _by this 28 day of JANUARY 20 _by
JASON W.NEUM�NN JASON W.NEUMANN
(Na of person acknowledging) (Name of person acknowledging)
4111
(Signatur f Notary Public-State of Flor da) (Signature of lotary Public-State of Florida CN
Personally Known x OR Produced Identification Personally Known x OR Produced Identific I§itn
Type of Identification Prod i CYNTHIAA.DYAL Type of Identification Prod," CYNTHIA A.-
ar® NOTARY PUBLICarm NOTA
Commission No. 9. STAT(BGE)FLORIDA Commission No. STATE(064Ji ORIDA
�l���� mmEE195094 'J�OFF� Comm#EE195094
Expires RIAl 016
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS