HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 -
Date: i'a•1- Permit Number:
P:T
E D
Building Permit Application JUN 0 12016
Planning and Development Services PEPS IT--F Styr
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: 3204 Live Oak Ln Fort Pierce, FL 34981
Legal Description: ift.t7le'tL r—'�1-446-6 66
Property Tax ID#:2430-502-0053-000-4 Lot No. 53
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
.DETAILED DESCRIPTION Of;WORK., '"
CLot,J
✓�- /2 S� -e �a 2s Gow Shu .� � s s/
EONSTRUCTION, INFORMATION:, ,'
Additionalworkto, e nertormed under this permit-check a appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
❑ a
Electric 0 Plumbing Sprinklers a Generator �Roof
Total Sq. Ft of Construction: 3772 S13 . Ft.of First Floor: 3772
Cost of Construction:$ 500 Utilities: _Sewer ElSeptic Building Height: 412
OWNER/LESSEE CONTRACTOR ..
Name Robert 0 Nobel Name: Larry Neese
Address: 3204 Live Oak Ln Company: Larry Neese Roofing, LLC
city: Fort Pierce State: FI Address: 2801 Sunrise Blvd.
Zip code:34981 F,,ax: 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: larry(aD-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.
SUPPLEMEINITAL CONSTRUCTION LIEN LAW INFORMATION. .
DESIGNER/ENGINEER: —Not Applicable w '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-resi ntial use
WARNING TO OWNER:Your failu o Record a Notice of Commence result in you aying twice for
improvemen ur prop .A Notice of Commencemen ust be recor ed and sted on the jobsite
before lke first insp ctio . f you intend to obtain financiKment.
onsult with der or n attorney before
co encin wo or r cordin our Notice of Commenc
s
_Sig ture of Owner/ ssee/Agent Signat a of Contr or/ icense Holder
S ATE OFF DA L 1 ST TE OF FLO A
OU F '� -ue,l C UN �-�)Cd E,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this-L—day of 20 Eby this ( day of 201,v by
by
F�SED� uc�
(Name of person acknowledging) (Name of pe on acknowledging)
44
(Signat re of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Prodgcj-,d Identification
Type of Identification Produced �(_, p 1- Type of Identification Produced
Commission No _ S lea fission No. «� I<(��� 1 S. NIELSEN
uB`'c= Commission Ik FF 115637
KAREN EHFF
SEN
Commissio7 My Commission Expires'';;oFFt��: JuneMy Commipires '� ,,•'�`OF LIOF,�` June 8
Revised 07/15/2014 F,,,,,,"
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS