HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 9
Date: 8GANNED Permit Number:
St Lucie Cmi.�f
• RECEIVED
Building Permit Application FEB 08 2019
Planning and Development Services ?€cMItting Department
Building and Code Regulation Division Sk, Lucie County
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: 4903 Eagle DRFort Pierce, FL 34951
Legal Description: HOLIDAY PINES S/D-PHASE II-B- LOT 244 (MAP 13/13N) (OR 430-1902; 3985-2732)
Property Tax ID #: i ")pl 0(-) j — C-) i)d—\ Lot No. 2` 4
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Removing existing shingle roof covering and installing new Owens Coming roof covering
Removing existing low slop roof covering and installing new Polyglass Modified Bitumen low slop roof covering
Pitch 5:12
Pitch 0.25:12
Block No.
JCONSTRUCTION INFORMATION:
Adclitional work to be nertormed under this permit —check all t= apply:
RHVAC Ej Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3781
Cost of Construction: $ 16,980.00
S . Ft. of First Floor: _
Utilities:cnSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Martin A Kopa
Name: Larry Neese
Address:4903 Eagle DR
Company: Larry Neese Roofing, LLC
Address: 506 S. Market Ave.
City: Fort Pierce State:FL
Zip Code: 34951 Fax:
city: Fort Pierce State: FL
Phone No.772-530-1978
Zip Code: 34982 Fax: 772-361-6581
E-Mail:
Phone No. 772-361-6580
E-Mail: Iar!yCa)LNroof.com
Fill in fee simple Title Holder on next page ( if different
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.
SUPPLEMENTAL CONSTRUCTION LIEN' LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
City: State:
Address:
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:
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 St. Lucie County Amendments.
The following building permit applications are exempt fro dergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, s- s, screen rooms and accessory uses to another non-residential se
WARNING TO OWNER: Your failure to Re d a Notice of Commencement may result in your pa ' ice for
improvements t�specrtfionr
perty. A Not a of Commencement must ecorded and po on the jobsite
before the fir If you int d to obtain financing, co u t wit ender or a ttorney before
commenc' a wodine you Notice of Commencem t.
_ Signature of
STATE OF COUNTY OF ORW�� t-i-� c i C
The forgoing instrument was acknowledged before me
this S day of r4eAo YUct 20 i3by
ST COT FLOR 01 J
The forgoing instrument was acknowledged before me
this - day of -Fe-kii'uq 20 L by
b u, I* LA0ha Ir 0 iu �A . D e ko r4-
(Name of person acknowledging) (Name of person acknowledging)
Oz, /' - )J A- Q_�
(Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NC6,6% •A" "C+� N ublic State of Florida ommission N�G 17
eh
Dfu M �ehart ►bfI�ublic State of Florida
My Commission GG 176777 Expif Dru H m's
c. ehart
My Commission GG 176777
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Revised 07/15/2014
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