HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST,BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn
Date: May 1, 2019 Permit Number: qOm/— l/ �
Building Permit Applicatigp, JAN_97 Zozo
mitten
Planning
uilding and Code Regulation Div sion St Lu 9 Department
Bh.,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
i
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 107 SE Placita Ct Port St Lucie, FL 34983
Legal Description:
RIVER PARK-UNIT 7- BILK 71 LOT 22(MAP 34/28S) (OR 268-323)
I
i
Property Tax ID#: 3419-550-0145-000-3 Lot No.22
Site Plan Name: Block No. 71
Project Name: Chase Re-Roof(portion of roof)
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace existing roof covering on section of roof(equaling 21% of roof covering)
Owens Corning Duration - 16-0425.01
Tri-Built FL16048-R6
i
CONSTRUCTION INFORMATION: ,
Additional wor to be performed under this permit—check all that appy:
HVAC Gas Tank E]Gas Piping Shutters Windows/Doors !
Electric 0 Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq. Ft of Construction:
625 S . Ft.of First Floor: 625
Cost of Construction:$ 6,700 Utilities.
Sewer Septic Building Height:
I
OW,NER/LESSEE: _ CONTRACTOR:
NameSusan Chase Name: LARRY NEESE
Address:107 SE Placita Ct Company: LARRY NEESE, LLC
city: Port Saint Lucie State:FL Address: 3401 S. US HWY 1
Zip Code: 34983 Fax: City: FORT PIERCE state:FL_
Phone No.(772) 878-5758 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.
I
I
I I
i
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:
I
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I
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
I
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 jobsitei
before the first" ction. If you i end to obtain financln su tTwiT1e der or an attorne b-ef re
commepeKg work or r cor our Notice of Commen moment.
i
i
i
i
Signature • Owner/Lesse tontractor as Agent for Owner Sig ature of Contractor `'dense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St Lucie
The f rgoing instru lent was acknowledged before me The f rgoing instrument as acknowI dg db
efore me
thisQn day of 26,2Z" by this day of 20X by
Larry C Neese Larry C Neese
i
Name of pe s n making statement Name of person making statement
Personally Known A OR Produced Identification Personally Known OC OR Produced Identification
Type of Identification Type of Identification
Produc-ed Produced
I
(Signature of N ry P ic- a e o F on a (Signature of Nota P 2`}P
rrotery Pu is State of Florida Totary Punic State o1 Florida
Commission No.�`, I y qn—y �!MQ(� Commission No. FlySAr y N ,1L ��
Cor,6rSbn GG 241645 C
Expires 07/25/2022 a My Com � / GG 241645
w orw xpires0./25/2022
i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
i
i
I