HomeMy WebLinkAboutBuilding_Permit_ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
J
Jil 7J :1
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
PROPOSED IMPROVEMENT LOCATION:
Address: 7855 White Ibis Ln Port St Lucie, FL 34952
Legal Description: EAGLES RETREAT AT SAVANNA CLUB (PB 42-24) BLK 56 LOT 3 (OR 1858-2889)
Property Tax ID #: 3424-701-0050-000-8
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILE=D DESCRIPTION OF WORK:
Remove existing roof and install shingles.
Lot No.3
Block No. 56
1ditional work to bjeertormed under this permit --check all
❑ HVAC L_J Gas Tank ❑Gas Piping
11 Electric ❑ Plumbing Sprinklers
CONTRACTOR: w
apply:
Shutters a Windows/Doors
Generator Fv] Roof
❑
Total Sq. Ft of Construction: 3246
Cost of Construction: $ 7,600.00
5 Ft. of First Floor: 2003
Utilities:[]Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: w
NameWiiliam H Whirlow Ill
Name: Larry Neese
Address: 7855 White Ibis Ln
Company: Larry Neese Roofing, LLC
City: Port St Lucie State:FL
Zip Code: 34952 Fax:
Phone No.
Address: 2801 Sunrise Blvd.
city: Fort Pierce State: FL
Zip Code: 34982 Fax: 772-361-6581
Phone No. 772-361-6580
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-mail: larrya-LNroof.com
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 IN
FORMATION:
DESIGNER/ENGINEER: — Not Ap
Name: _
Address:
City:
Zip:—
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
— Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: state:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: _ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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 exemptfrom 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 ceding your Notice of Commencement!"
Lessee/Agent
re
STATE OF FL
COUNTY OF ORIDA � i� ,,,r, COUNTY OF ORIDA51 L (4C 1
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of 20by t 16 his day of ' . .201 (a by
try �J fle S - R -L li
(Mame of person acknowledging) (Name of per n acknowledging)
.14
l�
(Signature of Notary Pubiic- Florida) {Sig a ure of Notary ublic- t of orida )
Personally Known V11*OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
commission No.tr fT10VER RING Commission No. Yp
Wco!a9SMONxFF140529 i3 TEIERRING
CARES: 7uly 10, 2020 -kN CO.MMSSION 4 FF140529
uy ,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS