HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL A PLICABLE 7FUST BECOMPLETED FOR APPLICATION TO BE ACCEPTEDDat�f Permit NumSCANNED
BY
Building Permit Applicatio
Plan Ing and Development Services Permitting
Build�g and Code Regulation Division ®�s���i�i1�
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Q0 [ I j 1 , i.,
Pho : (772) 462-1553 Fax: (772) 462-1578 Commercial Resi-e—raiaf— - '-=-- �
PERMIT APPLICATION FOR: Roof
Addre '�: 1938 Wyoming AVE Fort Pierce, FL. 34982
Legal escription: ORANGE BLOSSOM ESTATES FIRST ADDN BILK 1 LOT 19 (0.28 AC) (OR 3816-2024)
Property Tax ID #. 2421-602-0019-000-3 Lot No.19
Site Plz n Name: Block No. 1
i
ProjectName: Garwood Project
Setba s Front Back: Right Side: Left Side:
i
Remo a existing roof covering and replace with Owens Corning Shingles.
Owen Corning Duration - NOA NO:16-0425.01
Tri-Bui t Underlayment - FL16048-R6
Low *pe / Polyglass Bitumen - FL1654-R22
Haan .nai worK to oe errormea unaer tnis permit— cnecK all tnat apply:
1 AC Gas Tank []Gas Piping Shutters E]Windows/Doors Low Slope
_ g []Sprinklers 3/ � 2 oof pp
Ellectric ❑ Plumbing Generator Roof Roof itch
Total S �. Ft of Construction: 3886 \ 240 Sq. Ft. of First Floor: 2434
Cost oflConstruction: $ 12,500 Utilities: Sewer Septic Building Height:
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Name L', ster Garwood
Name: LARRY NEESE, LLC
Addres'I;1938 Wyoming Ave
Company: LARRY NEESE LLC
City: brt Pierce State:F�
Address: 506 S MARKET AVE
Zip Co fie: 34982 Fax: _
City: FORT PIERCE State: FL.
Phone 0.772-672-2604
zip Code: 34982 Fax: 772-361-6581
E-Mail:'
Phone No. 772-361-6580
Fill in f
'e simple Title Holder on next page ( if different
E-Mail: LARRYNEESE@LARRYNEESE.COM
from the
a Owner listed above)
State or County License: CCC1330608
If value Of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY: Not Applicable
Nam
Name:
Address:
Address:
City: 11
State: City: State:
Zip: J
Phone Zip: Phone:
FEE SIMPLE
TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Nam
Add r
City:
:
Name:
lass:
Address:
I
City:
Phone:
I
Zip: Phone:
Zip: J
—
OWN E
R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certif)
that no work or installation has commenced prior to the issuance of a permit.
St. Lucie
which i!,
structure.
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Pleaseconsu with your Home Owners Association and review your deed for any restrictions which may apply.
In consi
in accor
eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The folk
accesso
: ]wing building permit applications are exempt from undergoing a full concurrency review: room additions,
structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN,NG
TO OWNER: Your failure tp Record a Notice of Commencement may result in your paying twice for
improvements
before
to your propertyl,."otice of Commencement must be recorded anj_paeed on the jobsite
the first inspection.K u intend to obtain financing, consult Wender an attorney before
commq,ncing
..
w_opk-of rec9f ding your Notice of Commencement.
SignaiAe/Contractor as Agent for Owner
Signatuf'-e of Con or icense Holder
�Wner/L
I
STAi: LORIDA
COUNTY OF will_ Ile,
STATE OF FLORIDA
COUNTY OF C(��
The for ing instrument was acknowledged fore me
this _I day of 1, A g_lt— , 20_[� by
The %
voing instrurpent was acknowledged before me
thiZea_day of 20&_ by
erson making statement
Name of person ing statement
'Pers
11 Known OR Produced Identification
Personally Known OR Produced Identification
Type of,
Identification
Type of Identification
Produ
d
ProOuced
M
(SignaU(e of Notary Pub SWeA;41p
(Signa
Uef Notary Public- State of Florida
Commi;sion
No. I Nots"LM4 State of Florida
Amy N WOW
Commission comisslon GG 241 e45
Expires 07/2512022
Note Pu State of Florida
Commission No. It d
My 0 Commission GG 241645
Expires 7/2512022
A A AAA
REVIE,WS
FRONT
ZONING
SUPERVISOR
P
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE
REVIEW
REVIEW
REVIEW
DATE
RECEI\ED
DATE COMP
ETED'
Rev. 8/2/
7