HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t /y/ ^!.�
Date: Permit Number: (Vlo� ' p J c 1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 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
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Address: 2404 BLOSSOM CT Fort Pierce,FL 34982
Legal Description: ORANGE BLOSSOM ESTATES-2ND ADDN-2ND PLAT BLK 5 LOT 7(0.19 AC)(OR 3838-2717)
Property Tax ID#: 2421-809-0008000-4 Lot No. 7
Site Plan Name: Block No. 5
Project Name:
Setbacks Front Back: Right Side: Left Side:
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itional wor K toe nertormed under this permit—CheCK all appy:
HVAC0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric F] Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1970 Sq. Ft.of First Floor:
Cost of Construction:$ 8,500 Utilities: Sewer El Septic Building Height:
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Name David Fredy Name: Larry Neese
Address:2404 BLOSSOM CT 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.� ;'�I�J 5'f< Zip Code: 34982 Fax: 772-361-6581
E-Mail: 2 Phone No. 772-361-6580
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Fill in fee simple Title Holder on next pag (if different E-Mail: lagy( 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.
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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 thepermit 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 he jobsite
before the first inspection. If you inten btain financing, consult ' ender or an a ey before
commenccordin otice of Commencemen
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_Signat a of O essee Agent Signat a of Cont or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 57. L tf 6-1 P COUNTY OF �_l- Li c
The forgoing instrument was acknowledged before me The forgoing instrume t was acknowledged before me
this day of Jam,,�C 20�by this day of ,20 �by
G�r� C' ic/ra✓s t /!' ���r� �' �Cl'e eSe 1/
(Name of person acknowledging) (Name of person acknowledging)
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A9 of Notary Public-St a Afi�reFlorida) of Notary Public- F rida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ( """ �1THER RING Commission No. (SkWTHER RING
MY COMMISSION#FF140529 BION#FF140529
EXPIRES:J 10,2020 191ta9:Jur 10,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS