HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUS BE COMPLETED FOR APPLICATION TO BE ACCEPTED
® 7
Date: l0'�� Permit Number:
® RECEIVE®
Building Permit Application
Planning and Development Services AUG 0 6 2019
Building and Code Regulation Division
ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof .L
PROPOSED IMPRO.VEME°NT.LOCATION:
Address: 3135 Scarlet Tanger CT Port Saint Lucie, FL 34952
Legal Description: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2(PB 43-21) BLK 58 LOT 9 (OR 2348-1847)
Property Tax ID#: 3424-702-0019-000-2 Lot No.9
Site Plan Name: Block No. 58
Project Name: Fosberry Re-Roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DfSCRIPTION.OF WORK:
Remove and replace roof covering w
Extreme Metal Standing Seam : 20378.2
Titanium PSU 30 : FL11602-R7
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all that appy:
HVAC L__I Gas Tank []Gas Piping ❑Shutters F]Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Generator R1 Roof X12 Roof pitch
Total Sq. Ft of Construction: 2900 SFt.of First Floor:
Cost of Construction:$t�_P 00 Utilities:Sewer OSeptic Building Height:
OWNERAESS.EE: CONTRACTOR:
NameBob Fosberry Name: LARRY NEESE
Address:3135 Scarlet Tanager Court Company: LARRY NEESE, LLC
city: Port Saint Lucie State:FL Address: 3401 S. US HWY 1
Zip Code: 34952 Fax: city: FORT PIERCE State:FL.
Phone No.(518) 338-9975 Zip Code: 34982 Fax:
E-Mail: Phone No. 772-361-6580
Fill in fee simple Title Holder on next page(if different E-Mail: larryneeseroofing@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: XX 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.
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
commencing work or recording our Notice of Commencement.
/
Si of Owner/Les /Contractor as Agent for Owner SI to of Contractor 'cense Holder
STATE OF FLORIDA STATE OF FLORIDA ( I n
COUNTY OF Lu C L e. COUNTY OF
The for oing instrument was acknowledged before me The forgoing instrument was acknowled before me
this��lay of S+ 20 IA by this day of 20� by
Name of pe son making statement Name of per on making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
f) \A ry) . \
(Signature of N t ry Public- a e nature of No ry Pu '
Notary Public�State of Florida ( ^ Notary Public*State of Florida
Commission No. � dmm ssiW000 GG 241645 C mission No.�G�,a 1• Argy $ aA�
My Co mi siar GG 241645
or Expires 07/2512022 or Expires 07/25/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17