HomeMy WebLinkAboutSeeman-Building_Permit_Application pg 1ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
CID( l N-Fp Pk
Permit Number:
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: 2937 Eagles Nest WayPort St Lucie, FL 34952
Legal Description: EAGLES RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 63 LOT 5 (OR 2116-263
Property Tax ID #: 3424-702-0166-000-7
Site Plan Name:
Lot No.5
Block No. 63
Project Name:
Setbacks Front _ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Removing existing shingle roof covering and installing new Owens Corning roof covering
Pitch 3 :12
Additional work to be nertormed u
HVAC Gas Tank
Electric ❑ Plumbing
Total Sq. Ft of Construction: 2,717
Cost of Construction: $ 11,300
r this permit — checK all that apply:
[]Gas Piping ❑ Shutters
Sprinklers Generator
Sq. Ft. of First Floor:
Utilities: ESewer []Septic
❑ Windows/Doors
R1Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJohn H Seemann
Name: Larry Neese
Address: 2937 Eagles Nest Way
company: Larry Neese Roofing, LLC
City: Port St Lucie _ State:FL
Zip Code: 34952 Fax:
Phone No. 772-621-8249
Address: 506 S. Market Ave.
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: Iarry�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 INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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
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_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20 _by
-A-
(Name
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of
(Name of person acknowledging )
20 by
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced_
Commission No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS