HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �j Permit Number:
• 1 — SCANNED `lam
��r n ��
RECEIVED
Building Permit Application
Planning and Development Services APR 12 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST, Lucie county, Permlttin
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Reside Ia
PERMIT APPLICATION FOR: Roof
Address: 43 AQUA RA DR JENSEN BEACH, FL. 34957
Legal Description: WINDMILL VILLAGE BY THE SEA UNITTWO (LOT 2 CLUSTER 2) FROM SE COR BLK B RUN N 00 DEG 13 MIN 10SEC W 211.01 FT TO PC OF CURVE CONC
SWLY, CA 89 DEG 50 MIN 28 SEC AND R 25 FT, TH NWLY ON ARC 39.20 FT, TH S 89 DEG 56 MIN 22 SEC W ALG N LI BLK B 331.79 FT, TH SO DEG 03 MIN 38
Property Tax ID #: 4511-811-0022-220-9
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.2
Block No. B
REMOVE SHINGLES FROM EXISTING ROOF - REPLACE WITH 5V CRIMP METAL
5V CRIMP-20378.E
TITANIUM-FL11602-R
Additional work to be nertormed under this permit — checK an that apply:
❑HVAC Gas Tank []Gas Piping ❑ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing [] Sprinklers ❑ Generator Roof Roof pitch
Total Sq. Ft of Construction: 1444 Sq. Ft. of First Floor: 1444
Cost of Construction: $ 14,200 Utilities: ❑Sewer ❑Septic Building Height:
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Name DORIS GOULD
Address:510 S WILLIAMS ST
Name: LARRY NEESE, LLC
Company: LARRY NEESE, LLC
Address: 506 S MARKET AVE
city. JOHNSTOWN State:NY
Zip Code: 12095 Fax: _
Phone No.518-774-6827
City: FORT PIERCE State: FL.
Zip Code: 34982 Fax:
Phone No. 772-361-6580
E-Mail: BP510SW@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: LARRYNEESE@LARRYNEESE.COM
State or County License: CCC1330608
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.y
DESIGNER/ENGINEER: _ Not Applicable j
Name:
.
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MORTGAGE COMPANY: _ Not Applicable
Name: '
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:506 S MARKET AVE
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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-residential use
WARNING TO OWNER: Your failure to Recor ce,of Commencement may result in your paying twice for
improvements to �you
rty. A No ' e of Commencement must be recorded and posted on the jobsite
before the fi Inspei end to obtain financing, consult with lender or an attorney before
r_ommenc' e work onts v ur Notice of Commencement.
Signature f Owner/ Lessee/ ntr for as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI
STATE OF FLORIDA
COUN 11a r i e-
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _L2 day of A to tr l,l , 20L by
this day of 20_ by
La Y- ti N t;2s e-
Name ot person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known _ OR Produced Identification _
_I
Type of Identification
Type of Identification
Produced
Produced
(Si nature of N tary
(Signature of Notary Public- State of Florida )
//rr//�� .V'r Notary Public State of Florida
Commission No13C9 I Dru H(Irt
Commission No. (Seal)
+�4 My Commission GG 176777
'
OF Expires 01/18/2022
,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
1.
DESIGNE
Name:_
Address:
"'- _Not
Zip: Phone
MORTGA
ijC COMPANY _ Not Applicable
Name:
Address:
-City:----- -- ---- ------ — --------State:- -- -
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: _Not Applicable
Name: 1 Name:
Address:506 S MARKET AVE 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 theJssuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
structure. conflict
leasle consult any
your Home Owners AssociationAssociation
andrreview your deed focovenants
any re tr%t that
which rmay applyhibit such
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 Recor ce of Commencement may result in yo aying twice for
improvements to pro rty. �ie'
N' of Commencement must be r 0rded an osted on the jobsite
before the fi Inspection. you nd toobtain financing, cons Ith nder an fo
Ira,/. nl.,+i�o of !'nmmcnrcmo 1 ECEIVFn
GUIIlfilClll. 7 WVIR VI � viuni u. ��v�•a.a. v• ....••••••�-••`•--•••
•_•
APR 12 2018
Signature of Owner/ Lessee/ ntr or as Agent for Owner
en
Si ature of Contr or se H Id�f, Lug°u^ntY, P�rmittin
STAT OF FLORI
AT LORIDA
Lucy P
COUN a t
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instru ent wps acknowledg d before me
� day 201K by
this l� day of o' j) 20� by
this of r
Larr-%i N0091; e
Name 4 person making statement
Name of pe sonJnaking statement
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification i
Type of Identification
Produced
Produ d
(Signature of Nota ub,� tate� ry �u��ic�State o/ Florida
(Si nature of N tary
Notary Public State of Florida
'� Dru H(Irt
6/' ru H De t rt
Commission No. ll.• Commi 176777
Commission Nol.�l� .
My Commission GG 176777
or w xPifes 011181022
'4 a' Expires 01/1812022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17 "�ef��A �' 01�q6