HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q j
Date: Permit Number: � 1
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T RECEIVED
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Building Permit Application JAN 07 2019
Planning and Development services PefmittinDepartment
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof NNED
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PI3DROSE[i,�Mi?f�O ItI"\T" 'cAT,"0 a
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Address: 2811 Nine Iron Dr Port St Lucie, FL 34952
Legal Description: LINKS AT SAVANNA CLUB (PB 40-39) BLK 37 LOT 21 (OR 1745-359)
Property Tax ID #: 3425-707-0121-000-8 Lot No.21
Site Plan Name: Block No. 37
Project Name: Krakowiecki Re -Roof
Setbacks Front Back: Right Side: Left Side:
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Remove and Replace existing roof covering.
Extreme Metal : Standing Seam : 20378.2
Titanium PSU FL11602-R7
Low Slope: Polyglass : FL1654-R22
C0 $T12t3GTiC)N INFQRI1�
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itional work to be oenormea unaertnis permit— cneCK an app y:
E]HVAC Gas Tank Gas Piping Shutters Windows/Doors Low Slope:
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0.125(12
Electric 0 Plumbing ❑Sprinklers 3/12 Roof
Generator Roof pitch
Total Sq. Ft of Construction: 2,100 ScFt. of First Floor: 2, 100
Cost of Construction: $ 15,000 Utilities: Sewer OSeptic Building Height:
1�U(ER/C> SSEIy SRC
T }r N y:
R ti,Y`d ? ��'^c "•"'
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Name Casimir S Krakowiecki
Name: LARRY NEESE, LLC
Address:2811 Nine Iron Dr
Company: LARRY NEESE, LLC
City: Port Saint Lucie State:Fl_
Address: 3401 S. US Hwy 1
City: FORT PIERCE State: FL.
Zip Code: 34952 Fax:
Phone No.772-873-0569
Zip Code: 34982 Fax:
E-Mail:
Phone No. 772-361-6580
Fill in fee simple Title Holder on next page ( if different
E-Mail: larryneeseroofing@gmail.com
State or County License: CCC1330608
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTA,Lk"MIRUGTION LIEN LAW INFORMAtT10f
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
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.
1 certifythat no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count
yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 i n. If you intend to obtain financing, consult wi nder or an attorney before
commencin ork or cording vou-L.Uetite of Commencement
Signat re of Owner/ Less Contractor as Agent for Owner
Sign ure of Contract rse Holder
STATE OF FLO
'St. Lucie-
STATE OF FLO
Lu b t
COUNTY OF
COUNTY OFF
The rgoing instru ent was acknowled eA before me
The forgoing instr nt was acknowledg before me
thisrday of�, 20�=1 by
this4 day of n , 20 by
LCL rr t/ ►.lase.
�cz r r ►�I�.e y &C
Name o pe son making statement
Name of person making statement
Personally Known OL OR Produced Identification
Personally Known D(. OR Produced Identification
Type of Identification
Type of Identification
Produced,', / In I
Produced
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(Signature otary Public- State of Florida)
(Signature of ary Public- State of Florida )
Commission No. ( W
Notary Publle State o
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F 5 Notary u Stow of Flatitla
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N Wood
Amy N Woad
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REVIEWS
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Rev.8/2/17