HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST E,COMPPLETED FOR APPLICATION TO BE ACCEPTED
Date '�l I Permit Number: '
RECEIVED
Building Permit Application AUG 0 6 2019
Planning and Development Services
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
PROPOSED IMPROVEMENT LOCATION,: ,
Address: 1275 S Jenkins RD Fort Pierce, FL 34947-4309
13353951/2OFN 1/2OF812OFNE1/4OFNE1/4-LESSW2AC OF SON 1/2 OF S 1/2 OF NE 1/4 OF NE 1/4 AND LESS W 174 FT OF E 244 FT OF S 120 FT
Legal Description:
AND LESS W 30 FT OF E 70 FT OF S 30 FT AND LESS E 40 FT FOR RD R/W-(3.40 AC)(OR 479-1721:3074-133:3231-2367:4068-1074)
Property Tax ID#: 2313-113-0001-010-4 Lot No.N/A
Site Plan Name: Block No. N/A
Project Name: Crowe Re-Roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK:
.rae
Remove and replace existing roof covering
Extreme Metal 5V : 20378.6
Titanium PSU 30 - FL11602-R7
CONSTRUCTION INFORMATION:
Additional wor to e e Orme under this permit—c ec a tat appy:
ElHVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric OPlumbing ❑Sprinklers Generator Roof 5/12 Roof pitch
Total Sq.Ft of Construction: 3,400 S Ft.of First Floor: 3,400
Cost of Construction:$ 26',900 UtilitiesSewer ElSeptic Building Height:
OWNER/LESS'EE: . . ,CONTRAC-
TOR:,
Name Kevin Crowe Name: LARRY NEESE
Address:1275 S Jenkins RD Company: LARRY NEESE, LLC
city: Fort Pierce State:FL Address: 3401 S. US HWY 1
Zip Code: 34947 Fax: City: FORT PIERCE State:FL.
Phone No. (772) 473-5582 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.
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
commencing work or recording our Notice of Commencem -----,
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA �L , , 1
COUNTY OF ��• LUCK COUNTY OF VT. L��d
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge before me
g g.
this�day of S$ 20 by this�ay of 1''�U01 -E 20 by
Name of person making statement Name of perfon making statement
Personally Known OL OR Produced Identification Personally Known d— OR Produced Identification
Type of Identification Type of Identification
Produced Produced
5m n%w� n . ooh
(Signature f otary Pu (Signature oLhotary Public-State of Florida)
Notary Put;lic State of Florida ,1
Commission No. 1. Am JS'�!f{�ood Commission No 4W,. Expires
ota4�lik'State of Florida
s My Commission GG 241645 my N Wood
a • Expires 07/25120?.2 y Commission GG 241645
J. 07125/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17