HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: 1 �� �� 'Permit Number:
RECEII H SEP 19 1016
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: To Select from dropbox, click arrow at the end of line Roof
PROPOSED, IMPROVEMENT,LOCATIQN,: : .:
Address: 7842 White Ibis LN Port St Lucie, FL 34952-3192
Legal Description: EAGLES RETREAT AT SAVANNA CLUB (PB 42-24) BLK 55 LOT 2(OR 1903-2384:3882-1995)
Property Tax ID#: 3424-701-0037-000-1 Lot No. 2
Site Plan Name: Block No. 55
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK:
Remove shingle roof from manufactured home and install new roof
Aor— PJ6A 3: IZ
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
gElectric Plumbing ❑Sprinklers Generator L�J Roof
Total Sq. Ft of Construction: 2816 S . Ft.of First Floor:
Cost of Construction:$ lP,��'f�•UZUtilities:�Sewer ElSeptic Building Height: /V
6
OWNER/LESSEE.'.. CONTRACTOR: "
Name Franklin L Betts Name: Larry Neese
Address: 7842 White Ibis LN Company: Larry Neese Roofing, LLC
City: Port St Lucie State: FL Address: 2801 Sunrise Blvd.
Zip Code: 34952 Fax: city: Fort Pierce State: FL
Phone No. 772-341-9614 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: Iar[y(@_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
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the firs inspection. If you intend to obtain financing, consult with lender attorney before
commen .. rk or rpedfrding your Notice of Commenceme
s
Si at Ow er/Lessee/Agent Signntractor/License Holder
STATE OF FLORIDAa�� STATE OF FLORIDAC�
COUNTY OF �� va f COUNTY OF �" I [VC-1 C_
The forgoing instrument was acknowledged before me The f�ojgoing instrument was acknowledged before me
this I Q day of 20 4by this�(�,�day of S 20 1 by
6 vyg 1 C tlS-R- �_ M to yc- 11
(Name of person acknowledging) (Name of per n acknowledging)
(Signature of Notary-Pub/lic- a u
Florida) (Sig re of Notary ublic- t of orida)
Personally Known 1/ OR Produced Identification Personally Known OR Produced Identification
Type of Identificatiio{on,Prrro�duced Type of Identification Produced
Iffi
Commission No.4lr IMATMR RING Commission No.�C
,.HY P4 eC�
MY CONExpESS10
IO x2020529 = �c ATHER RING
e MY COMMISSION#FF140529
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lu,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS