HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: CQ J 142 Permit Number: Q 6
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Building Permit Application JU�3 d 1 201-b
Planning and Development Services PEWAITUING
Building and Code Regulation Division 5t. Lucie County, FL
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: 461 SE Naranja Ave Port St Lucie, FL 34983
Legal Description: RIVER PARK-UNIT 4-BLK 32 LOT 6 (MAP 34/27N) (OR 966-2592)
Property Tax ID#: 3419-530-0006-000-5 Lot N0.6
Site Plan Name: Block No. 32
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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AV
CONSTRUCTION INFORMATION:_
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric O Plumbing O Sprinklers Generator R1 Roof
Total Sq. Ft of Construction: 4136 Sq. Ft.of First Floor: 4136
Cost of Construction:$ 24100.00 Utilities: Sewer 0Septic Building Height:
OWNER/LESSEE: _ CONTRACTOR:
NameJohn B Andrews Name: Larry Neese
Address:461 SE Naranja Ave Company: Larry Neese.Roofing, LLC
City: Port St Lucie, State:FL Address: 2801 Sunrise Blvd.
Zip Code: 34983 Fax: City: Fort Pierce State: FL
Phone No.772-878-6196 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(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.
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
improve o yo roperty.A Notice o ommencement must be r and posted on the " ite
bei a first inspe n. If you ' o obtain financing, cons with lender ran alto a ore
c mencin or recordi our Notice of Commencement.
s
natur caner/Lessee/Agent Signature of 6ntractor/L' n Holder
STATE OF FLORID STAT ORL�DA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of . 20 by this day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of.Florida)
Personally Known OR Produced Identification Personally Known 1/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
o WKUAMT.
Commission No. ' ( (COMMISSIONtFF9216 Commission No.fl !� zorottp :.¢,,(SeN"T.DP MBLE
EXPIRES:November 7,201 MY COMMISSION t FF V1620
S e gondedThruBudgetNotarySen * * EXPIRES:November 7,2019
+)j,'? 7dF BoW Thru SuNet Notary Senkes
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS