HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater �' 7-0 Permit Number: 21 .4 1
RECEIVeoBuilding Permit Application MAR 1 7 2.020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED,IMP.ROVEMENT LOCATION: =
Address: 6327 Lenape St Fort Pierce, FL.34982
Legal Description. RIVERDALE YACHT CLUB ESTATES-UNIT 2 BLK 8 LOT 28 ANDS 39 FT OF LOT 29(0.25 AC)(OR 1873-1467)
Property Tax ID#: 3409-703-0098-000-5 Lot N0.28 & 29
Site Plan Name: Block No. 8
Project Name: Lincoln, ReRoof
Setbacks Front Back: Right Side: Left Side:
-
DETAILED DESCRIPTION OF WORK:u`,
e
Remove and replace existing roof covering
Extreme Metal 5V Crimp 20378.2
Titanium PSU 30 : FL11602-R9
CONSTRUCTION INFORMATION:
Additional work toe e Orme under this permit—check a at appy:
❑HVAC 11 Gas Tank Gas Piping Shutters R1
Windows/Doors
Electric 0 Plumbing Sprinklers Generator g Roof. 4/12 Roof pitch
Total Sq. Ft of Construction: 2100 S . Ft.of First Floor: 2100
Cost of Construction:$ 14,100 Utilithe CnSewer Eheptic Building Height:
OWNER/LESSEE CONTRACTOR:
NameJennifer Lincoln Name: LARRY NEESE
Address:6327 Lenape 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) 466-9290 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: 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-residen 'zuse
WARNING TO OWNER:Your failure ecord a Notice of Commencement may result in your "ing twice for
improvement our property Notice of Commencement must corded and p ed on the jobsite
before first insp ction. If u intend to obtain financing,�ht
t wit lender or attorney before
comm ncin wor recor n our Notice of Commence
Sig ture of Owner/Lesse Contractor as Agent for Owner Sig ure of Contractor/Licen Holder
TATE OF A TATE OF FL
CO TY OF St.Lucie CO OF St Lucie
The forgoing instrument was acknowledge�d�before me The rgoing instrument was acknowledggl before me
this��day of Me�c� ,20 d�L by this day of �.' 20 dQ by
Ikc g (-&911 Nka
Name of s n making statement Name of per n making statement
Personally Knownp�OR Produced Identification Personally Known�OR Produced Identification
Type of Identification Type of Identification
Produced Produced
L uq, �� \,)av 1�'q 0 wwol
(Signature of No9--ZcMbq�—
blic-State
of Florida) (Signature o Nootta(ry u lilcl State of Florida)
Commission No. (Seal) Commission Nov Ili i+)&4r (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17