HomeMy WebLinkAboutBuilding Permit Application r
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 1, 2019 Permit Number:
_ RECEIVED
Building Permit Application
Planning and Development Services FEB fl X2020
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 F@rmitting Department
Phone:(772)462-1553 Fax: (772)462-1578 Commercial ResidentMil60�Iltit'
PERMIT APPLICATION FOR: Roof
RRCQPOSED IMPROVEME�NTLOCATION
Address: 1012 ECHO ST
Legal Description: WHITE CITY S/D 09 36 40 E 97.23 FT OF W 219.46 FT S 1/2 OF S 21 OFT OF
N 375 FT OF LOT 223 (0.23 AC) (MAP 34/09S) (OR 331-2666)
Property Tax ID#. 3403-502-0263-200-0 Lot No.223 j
Site Plan Name: Block No.
Project Name: Suit Re-Roof
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OFWORK:, -
Remove and replace existing roof covering
Extreme Metal 5V Crimp : 20378.2
Titanium PSU 30 : FL11602-R9
CONSTRUCTION INFORMATION:
Acid itiona I work to be rieff-o—rmed under this permit–check all that apply:
HVAC Gas Tank E]Gas Piping E]Shutters Windows/Doors
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Electric 0 Plumbing OSprinklers Generator Roof 3/12 Roof pitch
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Total Sq. Ft of Construction: 2000 S . Ft.of First Floor: 2000
12 500
Cost of Construction:$ Utilities: _Sewer Septic Building Height:
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OWN ER/LESSEE: CONTRACTOR:
y
NameAnne Suite Name: LARRY NEESE, LLC
Address:9619 Knollwood LN 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.(772) 370-4272 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.
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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 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,
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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 jo site
before the first inspection. 1 intend to obtain financing, consult"dth lender or an attorn I
comm ork or r ordin our Notice of Com menceme
Sign ture of 0 /Lessee/Contractor as Agent for Owner Sign o icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St Lucie
The forgoing instrum wa acknowledged before me The orgoing instruolent was acknowledged before me
this Lai% of � 26X by this ay of F'-�� 20�L' by
iarcv nenz la rr\/ ftty-�_
Name of pet, on making statement Name of p on making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
n Wn r-_)JJ- - - - -- n -
(Signature of Not r u - tato f (Signature of Notary Ic a e o o f a
eN Vi giAtate of Florida r Wood ^ Notary Pudic State of Florida j
Commission No. rnr4k ti)GG 241645 Commission Nd- " My Comv�/�F�d,'`
Expires 07/2512022 011/X;241645
os ar fl 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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