HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _1
Date:
3' Permit Number:
ell
- - Building Permit Application AR :nPoerm
Planning and DevelopmentServices [:R
e CoittinBuilding 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 IMPROVEMENT LOCATION: .
Address: 213 Marina Dr Fort Pierce, FL 34949
Legal Description: CORAL COVE BEACH-SECTION ONE- BLK 5 LOT 34 (OR 749-1763)
Property Tax ID#. 1425-701-0147-000-2 Lot No.34
Site Plan Name: Block No. 5
Project Name: Riordan - Re-Roof Project
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove and replace existing roof covering
Extreme Metal 5V Crimp : 20378.6
Titanium PSU 30 - FL11602-R9
CQNSTRUCTI,ON INFORM=ATION': '7
Additional work toe nertormed under this permit—check all hat appy:
❑HVAC 0 Gas Tank Gas Piping Shutters ❑Windows/Doors
❑Electric 0 Plumbing ❑Sprinklers ❑Generator Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 3,000 SFt.of First Floor: 3,000
Cost of Construction:$ 17,900 Utilities:Sewer❑Septic Building Height:
OWNER/LESSEE: .CONTRACTOR: .
Name Michael C Riordan Name: LARRY NEESE
Address:213 Marina Dr Company: LARRY NEESE, LLC
city: Fort Pierce State:FL Address: 3401 S US HWY 1
Zip Code: 34949 Fax: City: 34982 State:FL.
Phone No. (772) 579-5545 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 IN'FO'RMATION
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 additio,s,
accessory structures,swimming pools,fences,wa s,signs,screen rooms and accessory uses to another non- idential use
WARNING TO OWNER:Your failure ecord a Notice of Commencement may result in `ur paying twice for
improve s to yo r property Notice of Commencement a corded a posted on the jobsite
befor a first ins ction. If u intend to obtain financi , consult w' h lende or an attorney before
com encin or recor to our Notice of Comme cement.
'gnatur=�A
/Contractor as Agent for Owner Signature of Contracto ' ense Holder
STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St Lucie
The fo oing instrument was acknowledged before me The forgoing instry� was acknowledged before me
this�ay of 20 by this day of Y 4" �(i� -263 by
Ljs1� 'lam �-�J c
Name of p r on making statement Name of pers6n making statement
Personally Known OR Produced Identification Personally Known d— OR Produced Identification
Type of Identification Type of Identification
Produeed Produced
(Signature of N ry u I r1'a' (Signature of Not ry li 0"+204e1ilic'State of Florida
otary Public State of Floride A y NW ood
Commission No. Amy N 296 Commission No. , any Corny Y GG 2aisa5
y Com 9N GG 241645 Expires by' 422
CW Expires 07/25/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17