HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o �
Date: Permit Number. trY�=
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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
PROPOSED IMPROVEMENT LOCATION:
Address: 7720 White Egret LN Port St Lucie, FL 34952
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 64 LOT 3 (OR 3871-1590)
Property Tax ID#: 3424-702-0191-000-1 Lot N0.3
Site Plan Name: Block No. 64
Project Name:
Setbacks. -Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF WORK: V
Remove existing roof covering and install new roof covering �\pej-Cp S _S V\1�
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Pitch 3/12
.CONSTRUCTION INFORMATION
Additional work toIe neorme under this permit—check a appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator R1 Roof
Total Sq. Ft of Construction: 2970 S�Ft.I of First Floor: 2970
Cost of Construction:$ 9,300 Utilities: Sewer 0 Septic Building Height:
OWNER/LESSEE:, CONTRACTOR:
Name Leonard P Fairfield CQC'*1lC Name: Larry Neese
Address:7720 White Egret 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.910-581-2458 Zip Code: 34982 Fax: 772-361-6581
E-Mail:ncmimi2002@yahoo.com Phone No. 772-361-6580
Fill in fee simple Title Holder on next page(if different E-Mail: Iarrya_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 Count 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 N ice of Commencement must be recorded and posted on the jobsite
before the ' ' spection Intend to obtain financi t with lender or an attorney before
comm cin wok or cordin our Notice of Comm cement.
s
SiE6ture caner/ essee/Agent Signatur of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF , COUNTY OF �. t41de,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 _by this day of ,20 by
LA '
(Name of persoii acknowledging) (Name of persoh acknowledging)
(Si nature of Notary Public-State a) (Signature of Notary Public-State of Flori
Personally Known A,,-" OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of IdentificationProduced
-r rCommission No. 'tV�2 mmission No.R�l 7
EMHEATR RING �"�P(�y HEATHER RING
wa My COMMISSION#FF140529
Vim '` EXPIRES:July 10,2020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS