HomeMy WebLinkAboutROOF - FIBERGLASS SHINGLE 1 '!
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `1 Permit Number:do
RECEIVED
Building Permit Application SEP 17 2018
Planning and Development Services T, 6N i ou(igy, prjrhi�ec�p�
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 A S ••
't V-' 5
Address: 90 San Luis Obispo Fort Pierce, FL. 34951
Legal Description:
Property Tax ID#: 1301-111-0001-000-5 Lot No.N/A
Site Plan Name: Block No. N/A
Project Name: Shanley Re-Roof
Setbacks Front Back: Right Side: Left Side:
Remove and replace existing roof covering MOV6A
Owens Corning : NOA NO : 16-0425.01
Tri-Built Underlayment- FL. 16048-R6
4'10.5.
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Additionalwor to e e orme un er t is permit—c ec a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers Generator Roof F3-/-12-1 Roof pitch
Total Sq. Ft of Construction: 1500 Sq. Ft.of First Floor: 1500
Cost of Construction: $ 7,200 Utilities: Sewer Septic Building Height:
Name MaryAnn Shanley Name: LARRY NEESE, LLC
Address:90 San Luis Obispo Company: LARRY NEESE, LLC
city: Fort Pierce State:FL. Address: 506 S MARKET AVE
Zip Code: 34951 Fax: City: FORT PIERCE State:FL.
Phone No.201-213-5287 Zip Code: 34982 Fax:
E-Mail: Phone No. 772-361-6580
Fill in fee simple Title Holder on next page(if different E-Mail: LARRYNEESE@LARRYNEESE.COM
from the Owner listed above) State or County License: CCC 1330608
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 'nancing, consult with lender or an attorney before
commencing work or recording our Notice of mmencement.
Signature of Owner/Les Contr or Agent for Owner Signature of Contract icense I r
STATE OF FLO A STATE OF FL IDA Q1` C+�
COUNTY OF .l UC1t COUNTY OF C
The forgoing instr nt was . nowledg before me The fpr oing instr ,e as n ledg before me
this M day of 20 by this_day of 20 by
LCM IOW, L wf kj N
Narrfe of per on making statement Name of per on making statement
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
P uced Produced
6n - M
ONW
(Signat r of Notary Public-S ate of Florida) (Signature otaa�rryPublic-Stateof Florida)
Commission No. L4"t
("(y Public'StateofFlorid Co mission No. Cll�� �,yA���teteofFlod
y N Wood Amy N Wood
APMY Commission GG 241845 AAy Commission GG 24da
1845
Expires 07/25!2022 Irea 07/25!2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17