HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: May 1, 2019 Permit Number:
® 02' 149
1FoBuilding Permit Application pe261
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Planning and Development Services St�ftog
Building and Code Regulation Division 44,C'60,?1%rF
2300 Virginia Avenue,Fort Pierce FL 34982 �0'�rX v2t
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 302 Easy St Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES-UNIT 02-BILK 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 Detached Garage Permit
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and Replace roof covering over detached garage
Extreme Metal 5V Metal : 20378.6
Titanium PSU 30 - FL11602-R9
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit—c ec a at appy:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof 2 Roof pitch
Total Sq. Ft of Construction: 1000 S . Ft.of First Floor: 1000
Cost of Construction:$ �� Utilities:cnSewer OSeptic Building Height:
OUVNER/LESSEE': :CONTRACTOR:
Name Maylene 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 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 goiLemmencement must be recorded and posted on the jobsite
before the first inspection. If you pzeinaa to obtain financing,consult wi ncler or an attorneylel&;'�_
commePcK9w_QA or record' our Notice of Commencement.
Si ture of 0 _e e see/Contractor as Agent for Owner Signature:Lo'f,,�'c ntractor/Lic e Holder
- � E OF FLORIDA STATE _t DA
COUNTY OF St.Lucie COUNTY OF St Lucie
re e see/Contractor V,
0 Ow
T 0
W�E FfFLORPIDA
Th f oing instrqa�eglt was acknowledged before me The orgoing instr t was acknowled d before me
thi:N3 day of 56
this day of VCS 20A0 by 20_ by
Larry C Neese Larry C Neese
Name of peZon making statement Name of per on making statement
Personally Known U1 OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
R V�Qccj_
a
(Signature of Notar on a. a of Florida (Signature of No a P blic-State of Flor'd
tate Pubiicf I tat of Florida
Amy N
Commission N cornlVAGG 241645 Commission No. pea
ommission G 241645
Expires 0712512022 mi6'
or Expires 07/25/2022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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