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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: . a \\\ \ \, vy y� o �. o LCO,NTRACTQ \\ �\ , , . , �, , _ .� .� ���.,�. �y�y y\ y,­01,, .. " 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: . \\\\O\\\\\\ \\\\\\ 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