HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 204 Date: �'i �,Too Permit Number:
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Building Permit Application APP 12 2016
Planning and Development Services PEF?rAJ?Ti;VG
Building and Code Regulation Division St• Lucie co
2300 Virginia Avenue,Fort Pierce FL 34982 unty' FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
OPOSED INCPROVEMENT LOCA -1O
Address: 5906 Bamboo DR Fort Pierce, FL 34982-3760
Legal Description: INDIAN RIVER ESTATES-UNIT 09-BILK 87 LOT 2 (MAP 34/12S) (OR 3761-2447)
Property Tax ID#: 3402-610-0498-000-3 Lot No.2
Site Plan Name: Block No. 87
Project Name: 01a ud,a 0f®e'C'tL
OF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
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CONSTRUCTION;INFORIVIATION
Additional work to be nertormed under this permit–check�all appy:
❑HVAC Gas Tank Gas Pi Windows
— ❑ in Piping Shutters Doors❑ /
❑Electric 0 Plumbing Sprinklers ❑Generator R] Roof
Total Sq. Ft of Construction: 1632 S . Ft.of First Floor: 1632
Cost of Construction: 500.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR
NameClaudia Sproul Name: Larry Neese
Address:5906 Bamboo DR Company: Larry Neese Roofing, LLC
City: Fort Pierce State:FL Address: 2801 Sunrise Blvd.
Zip Code: 34982 Fax: city: Fort Pierce State: FL
Phone No. 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: Iarry(d_)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 ure to Record a Notice of Commencement may result in your paying twice for
improvements to your pr erty.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspec ' n. If you intend to obtain financing, consult with lender or orney before
commencin k o recording our Notice of Commencemen
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er/Lessee/Agent Si ture of Con r/License Holder
STAT �,,� L STATE OF FLORIDA
COUNTY OF r 4c;f COUNTY OF ST Lye–, -e—
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The forgoing instrument was acknowledged before The forgoing instrument was acknowledged before me0 * *0:.this day of At,� 20/�by `�.a� ' this day of-- AV ti) 20 by �
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(Name of person acknowledging) z (Name of per n acknowle ging) m
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(Signature of Notary Public-.State of Florida) ( ignature of Notary Public- ate of Florida) y
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Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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