HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDo � ----�
Date: Ma V1:9- Permit Number
XVED '
Building Permit Application JAN 15 2020
Planning and Development Services Permitting Departmen
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 �t. Lurie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Re n la
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 302 Easy St Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 02-BLK 6 W 150 FT OF LOT 72-LESS N 18 FT-AND W 150 FT OF
LOTS 73 AND 74 (MAP 34/11 S) (OR 1107-2411)
Property Tax ID#: 3402-603-0051-000-6 Lot No.72
Site Plan Name: Block No. 6
Project Name: Clearwater Re-Roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: -
Remove and replace existing roof covering
Extreme Metal 5V Metal : 20378.6
Titanium PSU 30 - FL11602-R9
CONSTRUCTION INFORMATION f
„
Additional work to be performed under this permit—check alli h appy:
HVAC Gas Tank []Gas Piping IL_JI Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof 6/12 Roof pitch
Total Sq. Ft of Construction: 3,800 SFt.of First Floor: 3,800
Cost of Construction:$ 19,600
Utilities. Septic Building Height:
OWNER/LESSEE:' CONTRACTOR'
,
f. TOR: -
NameMaylene Clearwater Name: LARRY NEESE
Address:302 Easy 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) 332-7224 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 1AW 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 thepermit 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 yo aying twice for
improvements to your property.A of Commencement m co an osted on the jobsite
before the Inspe tion. If y Intend to obtain financing,co ult with lend o an attorney before
commencin rk r cordin our Notice of Commencement.
Signa r Mer as Agent for Owner Signatur of Contractor/Licens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St Lucie
The for oing instru nt was acknowledge before me The f oing instru nt was acknowledged before me
this-0 day of 20by this day of kJ 20,,Xby
Name of Oerso making statement Name ofr on making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
I "
(Signature of N ry Publ''-S bofAn
Florida 11 (Signature of Notay Pu ic8t ofOb-o +¢iic Sten ofFloria
Notary Public State of Florida IIJJ�` Amy N Wood
Commission No. Arn N 1l,�ood Commission No. l 0orr��¢p��tea a�iiQp�;n�2411�5
MY salon GG 241845 Expires 022
a Expires 07/2512022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17