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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-N ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: l ��J� •© (p • Building Permit Application '2 lVeD Planning and Development Services AUG Z Building and Code Regulation Division Z®l% 2300 Virginia Avenue, Fort Pierce FL 34982 S PE , iWITTING Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial ResidehAMIaNco�,., _. PERMIT APPLICATION FOR: Roof PROPOSED`1'MPROVEMENT LOCAT.ION:" Address: 4691Jorgensen RdFort Pierce, FL 34981 Legal Description: WHITE CITY S/D 05 36 40 S 150 FTOF LOT 69 AND W 420 FT OF E 440 FT OF S 150 FT OF N 660 FT OF NE1/4 OF NW 114 OF NE 1/4-LESS N 130 FT OF E 335.85-LESS S 10 FT OF E 10 FT- (1.20 AC) (MAP 34/05N) (OR 590-715; 2629-1715; 3258-1931) Property Tax ID #: 3403-502-0128-200-2 Lot No.69 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILEO, DESCRIPTION OF WORK: Remove shingle roof covering on Detached Garage and install Gulf Coast Metal roof covering on detached Garage only Pitch 3:12 CONSTRgCTION; INFORMATION Add Itlona I work to l3e nertormed under this permit— check a apply: 0HVAC Gas Tank Gas Piping Shutters ❑ Windows/Doors Electric 0 Plumbing Sprinklers ❑ Generator FV] Roof Total Sq. Ft of Construction: 450 S . Ft. of First Floor: Cost of Construction: $ 2200.00 Utilities:11 Sewer OSeptic Building Height: OUVN Ef#/LESSEE. CONTRACTOR NameLyman W Johnson Name: Larry Neese Company: Larry Neese Roofing, LLC Address:4691 JORGENSEN RD City: Fort Pierce State:FL Address: 488 S. Market Ave. Zip Code: 34981 Fax: City: Fort Pierce State: FL Phone No.772-461-4568 Zip Code: 34982 Fax: 772-361-6581 Phone No. 772-361-6580 E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail: IaMti_LNroof.com from the Owner listed above) State or County License: FL CCC1330608 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SIJPPLEM,ENTAL CONSI"RUCTION LIEN tAW'INFORMATION DESIGNER/ENGINEER. Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: . FEE SIMPLE TITLE HOLDER: Not Applicable 9ONDING COMPANY: Not Applicable Name: Name: Address: Address: City.: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to theissuance 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 commencing work or recording your Notice of Commencement. of b ner/ Lessee/Agent STATE OF FLORIDA STATE OF RDA COUNTY OF LA COUNTY OF 3T The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this cq& day of 20 L-1by this q day of dua, 20 by (Name of person acknowledging) (Name of person acknowledging ) 41gnature of Notary Pub licof Florida) (Signature of Notary,Puubblic-Stat orida ) Personally Known ✓ OR Produced Identification Personally Known ✓ OR -Produced Identification Type of Identification Produced t___ - s .........Type of Identification Produced Commission No: Revised 07/15/2014 AIR#R 9 Commission No. WflI F'S: July 10, 2020 RING #FF140529 10, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE �u / -` 6 INITIALS Wo