HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l'`DQ Cr�ln�
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Building Permit Application
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
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Address: 1603 N 33rd ST Fort Pierce, FL
Legal Description: SUNLAND GARDENS BLK 20 LOTS 1 AND 2 (0.36 AC) (OR 3883-1173)
Property Tax I D#: 2405-601-0363-000-6 Lot No.1&2
Site Plan Name: Block No. 20
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Xdditional work tone nertormed under this permit—check all appy: El
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers E]Generator Roof
Total Sq. Ft of Construction: 250 S . Ft.of First Floor: 2654
Cost of Construction:$ 2400 Utilities:11 Sewer F]Septic Building Height:
NameAntoinette Josue Name: Larry Neese
Address:3008 Carver ST Company: Larry Neese Roofing, LLC
City: For-V Qkf,4r� State: Address: 2801 Sunrise Blvd.
Zip Code: Fax: city: Fort Pierce state: FL
Phone No. 3rog �t�C , 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[(�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:
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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 t e jobsite
before the first inspection. If you intend to ob in financing,consul itkt_lender or an efore
commencing .Ig
w er rdin our of Commenceme .
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_Signature Owner/Le a/Agent Signature Contra rise Holder
STATED L STATRe
COUNTY OF COUNTY OF ► & o ,
The f rgoing inst ent was acknowledged before me The forgoing instrument was acknowledged before me
this:qday day of 201�by this day o ,20 !( by
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(Name of persona owledging) (k me of pers acknowledging)
( i t re of Notary Public-Sta of Florida) ature of Notary Public-Stat of Florida)
Personally Known_ � OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Produced Type of Identification Prt A. wdW
LASHAHNAiNGRAM
Commission No. Notary Public-State '
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NGRAM ommissron Nor :My Comm-Expiree Oec 2I �
ate of Florida ;; »c 20 201commiseioe#F`
Dires FF 177249Revised 07/15/2014 :;;q�� nal Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS