HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
7-
Building Permit Application
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: 9533 W Angle Road Fort Pierce, FL 34947
Legal Description: 335 39W150.04 FT OF E600.16 Fr OF N 1/2 OF NW 1/4 OF NE 114-LESS C-25 RNV AND LESS ANGLE RD WEST RW(1.65AC)(OR 725-2753)
Property Tax ID#: 2303-121-0006-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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heck all that apply:
HVAC Gas Tank ❑Gas Piping F]_Shutters
Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 99 Sq. Ft.of First Floor: 1414
Cost of Construction:$ 3,700,00 Utilities: Sewer Septic Building Height: 31
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Name: Larry Neese
Address:S,SE,-7) 9A Company: Larry Neese Roofing, LLC
city:x ,r-v State: Address: 2801 Sunrise Blvd.
Zip Code: ;%CA Fax: city:_ Fort Pierce State: FL
Phone No. "T7._,A- O�QK_ 42 59 K Zip Code: 34982 Fax: 772-361-6581
E-Mail: Phone No. 772-3616580
Fill in fee simple Title Holder on next page if different E-Mail: Iar!y(cD_LNroof.com
from the Owner listed above) State or County License. FLCCC1330608
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 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 pians,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 the jobsite
before the first in ection. If you intend to obtain financing,consult with lender or an attorney before
commen ' ark o recd ur Notice of Commenceme
s
_Sign re ner/Lessee/Agent SigDafbre of Contr r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _ COUNTY OF_ '?`
The fofigoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of �) Lt ri e _ 20l by this day of 20 f� by
(Name of�p rson acknowledging) (Name of pplrson acknowledging)
( ignature of Notary
,Publi/c- � lorida} (Signature of Notary
yPubli,c-.Stta'te da}
Personally Known L/- OR Produced Identification Personally Known tl OR Produced Identification
Type of IdentificationProducedType of Identification Produced
Commission No��I bJf l (SeWATHER RING ommission No. �= (AAT loR#RIN 2g
MY OMNIISSION#,214052 %7501 EXPMES;July 10,2020
ww� EXPIRES:July 10,2020
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS