HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE AC-__ PTED L 1�
Date:`� �a1a.01�1 Perm. -Number:
RECEIVED
Building Permit Application DEC 20 '019
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: 3205 Live Oak Ln Fort Pierce, FL 34981
Legal Description: RIVER OAK ESTATES LOT 50 (0.29 AC) (OR 1742-1514)
Property Tax ID#: 2430-502-0050-000-3 Lot No.50
Site Plan Name: Block No.
Project Name: Fredryk Re-Roof
- Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace existing roof covering on flat portion of roof
Polyglass Modified Bitumen : F11654-R24
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check a that appy:
HVAC D Gas Tank 0Gas Piping Shutters Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof 125/1 Roof pitch
Total Sq. Ft of Construction: 415 SFt.of First Floor: 415
Cost of Construction:$ 4,000 Utilities:cnSewer Septic Building Height:
OWNERAESSEE:� .E CONTRACTOR.—
Name Edward
ONTRACTOR.NameEdward Fredryk and/or Linda Fredryk Name: LARRY NEESE
Address:3205 Live Oak Ln Company: LARRY NEESE, LLC
city: Fort Pierce State:FL Address: 3401 S. US HWY 1
Zip Code: 34981 Fax: City: FORT PIERCE State:FL.
Phone No.(412) 401-3770 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 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the s ject structure
which is in contlict with any applicable Home Owners Association rules,bylaws or and covenants that may re stri or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restricti/whichay apply.
In consideration of the granting of this requested permit, I ohereby agree that I will,in all respects, e work
in accordance with the approved plans,the Florida Buildi Codes and St.Lucie County AmendmentsThe following building permit applications are exemp .rom undergoing a full concurrency review:ros,
accessory structures,swimming pools,fences,wall ,signs,screen rooms and accessory usytoanoernon-residentialuse
WARNING TO OWNER: Your f ' re to R ord a Notice of Commence m your paying twice for
improvements to your pro erty A No ce of Commencement mu be re oposted on the jobsite
before the first inspecti . Ify inte d to obtain financing, cosuit wi len attorney before
commencingwork or r cord' ur �wice of Commencem t.
Signature of Owner/Lessee/ ntractor Agent for Owner Signature f Contra r/License Holder
STATE OF FLORIDAn' STATE OF FLORIDA ' I �
COUNTY OF LU 6 C COUNTY OF l..u
The oing/instrument was acknowledgbefore me The fo oing instr meat was acknowledged before me
this da of ��� il',20 b this day of Cl 20jj by
LQr
ry Ntes�-- Larcv N Q eSe-
Name of per n making statement Name ofs on making statement
Personally Known OR Produced Identification Personally Known p dOR Produced Identification
Type of Identification Type of Identification
Produced Prod
�hAn Nu e
oc�
o . a
(Signature ofo ary Public-State of Florida) (Signature of ary Pub'
r a Notary Public State of Florida
Commission No V µ , Lbl;�State of Florida ommission No C� AMy t6ft�d
Amy N Wood My Cornmraaion GG 241845
My Comm+asion GG 241645 a ra Expires 07I25/2022
* Exores 0712512022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17