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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED © Date: Permit Number: k2id E-;�,�i , �- Building Permit Application Planning and Development ServicesPubilc VVIrks Building and Code Regulation Division fit= !_ucie 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 IMFROUEMENT°LOCATION:: Address: 3236 W Lake DrFort Pierce, FL 34982 Legal Description: SILVER LAKE PARK ADDN BLK 7 LOT 12 (OR 787-2308) Property Tax ID#: 2427-603-0044-000-8 Lot No.12 Site Plan Name: Block No. 7 Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION.OFWORK: , Remove existing roof covering and replace with metal roof Covering Roof Pitch 2:12 o w S/o 0 . / s CONSTRUCTION INFORMATION: Additional work to e performed under this permit—check a appy: HVAC 0 Gas Tank —]Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing ❑Sprinklers E Generator Z Roof Total Sq. Ft of Construction: 1788 S Ft.of First Floor: 1788 Cost of Construction:$ 10,400.00 Utilities:Sewer ElSeptic Building Height: OWNER/LESSEE CO.NTRAGTOR:. NameJohn H Yancy Name: Larry Neese Address:3236 W Lake Dr Company: Larry Neese Roofing, LLC City: Fort Pierce State:FL Address: -2801 Sunrise Blvd. Zip Code: 34982 Fax: city: Fort Pierce State: FL Phone No. 772-468-6999 Zip Code: 34982 Fax: 772-361-6581 E-Mail: Jhyancy@Comcast.net Phone No. 772-361-6580 Fill in fee simple Title Holder on next page(if different E-Mail: larry(cD-LNroof.corn 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 propert . Notice of Commencement must be recorded and posted on the jobsite before_Lhe4ir,sJt inspection you intend to obtain financing, suit Wit lender or an before recm�co mencin ork or r ording your Notice of Commencem t. s Si nature of Owne Lessee/Agent Sign�ture of Contrac icense Holder STAT O A STA COUNTY OF Lucie COUNTY OF Ed 6-e_ The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 by this day of 20 by 1—().ryv We's–c - 1 /1"0( N&'S t iff-- (Name of pers n acknowledging) (Name of person acknowledging) r (- -( 0 - -nq/WJL6:- �� Signature of Notary Public-State of F o da) (Signature of Notary Public- tate of FI a Personally Known 10 OR Produced Identification Personally Known V/ OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No.F U� �P lea 1HE — Commission No. Ptd WRTHERRING MY COMMISSION#FF140529 MY COMMISSION 0 FF140529 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