HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: C�' I � I (0 0l� Permit Number:...
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Building Permit Application JUL 1 J
Planning and Development Services PEWIM77ING
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: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 2315 Coolidge RdFort Pierce, FL 34945
Legal Description. MODEL LAND CO'SSID 233539N30FTOFS60FTOFLOTS 2AND 3LYGWLYOFTRNPKAND N30FTOFS60FTOFE)
1/2 OF LOT 4 AND E 30 FT OF S 60 FT OF W 1/2 OF LOT 4 AND W 1/2 OF LOT 5 IN NW 1/4(5.79AC) (OR 1058-1447
PropertyTax ID#: 2323-501-0021-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK:
CONSTRUCTION INFORMATION:
Additional work to e performed under tispermit—c check a appy:
HVAC E]Gas Tank Gas Piping _Shutters Windows/Doors
❑ a
11 Electric ❑ Plumbing Sprinklers ❑Generator FV—] Roof
Total Sq. Ft of Construction: 2179 SFt.of First Floor:
Cost of Construction:$ 5500.00 Utilities:Sewer ElSeptic Building Height:
OWNER/LESSE;E': ° . CONTRACTOR:
Name Frank Russo Name: Larry Neese
Address:2315 Coolidge Rd Company: Larry Neese Roofing, LLC
City: Fort Pierce State:FL Address: 2801 Sunrise Blvd.
_Zipind.e-34945 Fax: 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(c—DLNroof.com
from the Owner listed above) State or County License: FL CCC1330608
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW 1N'FORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencor o cling your Notice of Commencement.
s
_Sig ure of er/Lessee/Agent Signature of on ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA "<—COUNTY OF e� U"-6'V � COUNTYOF r
The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledged before me
this 4�day of 20 _L feby this A-$-day of 20 by
(Name of pers&n acknowledging) (Name of perso ac
k )
('51 nature of Notary Public-St Florida) (Signature of Notary Publ/ic-State of
Personally Known�R Produced Identification Personally Known 1 OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. 912- eP�E S
MY COMMISSION#FF140529 ATBER RING
EXPIRES:July 10,2020 MY COMMIMION#FF140529
EXPME i Ally 10,20-20-
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS