HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date- M� �'..J�A'0 Permit Numbe : mzph om ljvwj EpT-�. :.NMI
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JAN 3 D 2020
Building pp Permit Application
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: �! -
Address: 1200 Parkland BLVD Fort Pierce 34982
Legal Description: RIVERDALE YACHT CLUB ESTATES-UNIT 2 BLK 4 E 1/2 OF LOT 18 AND ALL
LOTS 19 AND 20 (0.36 AC) (OR 301-1707; 3931-1271)
Property Tax ID#: 3409-703-0038-000-7 Lot No.19&20
Site Plan Name: Block No. 4 E
Project Name: Blazer Re-Roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF-WORK:
Remove and replace existing roof covering.
Extreme Metal : Standing Seam 20378.2
Titanium PSU 30 - FL11602-R9
Low Slope : Polyglass Modified Bitumen FL1654-R24
CONSTRUCTION INFORMATION: .
Additional work to be performed under this permit–c ec a at appy:
❑HVAC Gas Tank Gas Piping Shutters Windows Doors Low Slope
❑ p g — ❑Windows/
Doors
Electric ❑Plumbing Sprinklers Generator Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 3600 S Ft.of First Floor: 3600
Cost of Construction:$ 29,500 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: ; CONTRACTOR:
Name Lori L Blazer i Lo rI, Name: LARRY NEESE
Address:1200 Parkland BLVD 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) 626-6257 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
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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 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
commend rk or recording our Notice of Commen n .
Si caner/Lessee/Contractor as Agent for Owner r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St Lucie
The for oing instrument was acknowledged before me The fQ r oing instrument was acknowledged before me
thi day of FQ�• 20DLJ by thisot day of (� ,20 1 by
Larry C Neese Larry C Neese
Name of person making statement Name of person making statement
Personally Known CL-, OR Produced Identification Personally Known a�h _OR Produced Identification
Type of Identification Type of Identification
Produc Produced
(Signature of No P (Signature of Notlafy P
C Ids°, otery PuWi State of Florida C ery Public State of Florida
Commission No. L Amy N(J Commission No. `/Amy N*MI)
My Commission GG 241645 My Commission GG 241645
OP Expires 07!25!2022 or Expires 07/25/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17