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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 l r
Date: May 1, 2019 Permit Number:
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Building Permit Application 61,01 V1' AON
Planning and Development Services
Building and Code Regulation Division a3AI3D3d
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PRqPOSED IMPROVEMENT LOCATION:
Address: 2005 ESPLANADE ST Fort Pierce, FL 34982
Legal Description: CORTEZ ESTATES-UNIT NO 1 BLK B LOT 7 (0.19 AC)
Property Tax ID#: 2421-607-0018-000-1 Lot No.7
Site Plan Name: Block No. B
Project Name: Bare Re-Roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION`,OF WORK:
Remove existing roof covering and replace with new roof covering. I\tSo 'fL^nWJ
Extreme Metal 5V Crimp : 20378.6 ci `10A a 1b63c-. a 1
Titanium PSU 30 : FL11602-R9
Polyglass Modified Bitumen : FL1654-R24
CONSTRUCTION INFORMATION:
Additional work to e nertormed under this permit—check a that apply:
11HVAC Gas Tank Gas Piping ❑Shutters Windows Doors
1:111 ❑ g p ❑ /
Electric Plumbing Sprinklers Generator Roof 5/12 Roof pitch
' Total Sq. Ft of Construction: 2700 S . Ft.of First Floor: 2700
Cost of Construction:$ 13,900 Utilities.
CnSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Catherine Bare Name: LARRY NEESE
Address:2005 Esplanade St Company: LARRY NEESE, LLC
city: Fort Pierce State: FL Address. 3401 S. US HWY 1
Zip Code: 34982 Fax: City: FORT PIERCE State:FL.
Phone No. (772) 633-9361 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: CCC1330608
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION L-11EN 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 fa* re to Record a Notice of Commencement may result in your ing twice for
Improvements t�sp
ur prop y.A Notice of Commencement must be recorded and p ed on the jobsite
before the fi ction. you intend to obtain financing, consult der or - attorney before
commen ' wor reco din our Notice of Commencement.
Signature of Ow er/Lesse Contractor as Agent for Owner Signature of Cont actor/Li nse Holder
i
STATE OF FL A � `` 9 STATE OF FLORIDA � 1
COUNTY OF L}1'. Luc',c COUNTY OF
The forgoing instrument was acknowledg before me The foIr��oing instrument was acknowledge(before me
I this�day of T�OU• 20 by this—F�day of O�• 20 I by
! Name of person fnaking statement Name of i1erson making statement
Personally Known OR Produced Identification Personally Known�_OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notaro Publl//icII-State of Florida) (Signature of Nota ro
ublic-State of Florida)
Commission No.c C CH1 �� a
'AmyN Wood Amy
or Fitri m 'ssion No. G Aota,y 45�74tate of Florida
* My ommission GG 241 5 My Commission GG 241645
• ar Expires 07/25/2022
REVIEWS FRONT I U PR^^VlSOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17