HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 8
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Building Permit Application JAN 3 0 2020
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
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 j;''
Address: 8306 Lakeland BLVD Fort Pierce, FL 34951
Legal Description: LAKEWOOD PARK-UNIT 12-BLK 163 LOT 7 (MAP 13/12S) (or 3988-1778)
-Property Tax ID#: 1301-608-0021-000/6 Lot No.5
Site Plan Name: Block No. 88
Project Name: Wagner- ReRoof
Setbacks Front Back: Right Side: Left Side:
DETAILED DES'CRIPTION'OF WORK:
Remove and replace existing roof covering on roof and low slope portion of roof
Extreme Metal - 5V 20378.6
Titanium PSU 30 - FL11602-R9
'Low Slope Portion of Roof- Polyglass - FI1654-R24
CONSTRUCTION_INFORMATION: 3
Additional workto e e orme under this permit—check a that appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors Low Slope
0.125/12
Electric Plumbing Sprinklers Generator Roof 4/12 Roof pitch
Total Sq.Ft of Construction: 1900 Sq. Ft.of First Floor: 1900
Cost of Construction:$ 11,900 Utilities:oSewer Septic Building Height:
OWNER/LESSEE: _CONTRACTOR:
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Name_Audra Wagner Name: LARRY NEESE
Address:8306 Lakeland BLVD Company: LARRY NEESE, LLC
city: Fort Pierce State: FL Address: 3401 S. US HWY 1
Zip Code: 34951 Fax: City: FORT PIERCE State:FL.
Phone No.(757) 291-3629 Zip Code: 34982 Fax: 772-361-6581
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.
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 of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
COMOMIL111 or recording our Notice of Commence
Signature of Owner/Lessee/Contractor as Agent for Owner Sig ac or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St Lucie
Thedoing instru n as acknowledg d before me The f r oing instrument was acknowledg d before me
ti day of L 2 by this day of c A, 20 by
LQ_fCq OM Mcry Oe ,we
Name of per on making statement Name df per on making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Nota I - t r (Signature of o P lic- to of Florida
Notary Pubiic'state of Florida g ry Notary Pub�ic'Stato of Florida ,r'
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Commission No my
Cotnrnisdiodn GG 241645 Commission No. 1 My ComIGG 241645 l
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Expires 07/25/2022 or FV Expires 07/25/2022 P
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17