HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: at \�A }.jq Permit Number: OWAI
RECEIVED
Building Permit Application
Planning and Development Services FEB 142019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST.. Lucie .County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
Address: 10701 S Ocean DR Lot 679 Jensen Beach, FL 34957
Legal Description: VENTURE OUT -SECTION C- LOT 80
Property Tax ID #: 4511-805-0080-000-6 Lot No.80
Site Plan Name: Block No. N/A
Project Name: Englesbe Re -Roof
Setbacks Front Back: Right Side: Left Side:
Remove and replace existing roof covering
Extreme Metal : 5v Crimp 20378.6
Titanium PSU30 : FL11602-R7
DHVAC LJGas Tank
DElectric 0 Plumbing
Total Sq. Ft of Construction: 450
Cost of Construction: $ 2450
Piping LJShutters
nklers 0 Generator
S Ft. of First Floor: 450
Utilities..nSewer 0Septic
❑ Windows/Doors
Roof /12 Roof pitch
Building Height:
OViIIUER/LESSEE.
CONTRACTOR;
Name Matthew Englesbe
Name: LARRY NEESE, LLC
Address:10701 S. Ocean Drive Lot 679
Company: LARRY NEESE, LLC
city: Jensen Beach state:Fl
Zip Code: 34957 Fax:
Phone No.973-600-9075
Address: 3401 S. US Hwy 1
City: FORT PIERCE State: FL.
Zip Code: 34982 Fax:
Phone No. 772-361-6580
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: larryneeseroofing@gmail.com
State or County License: CCC1330608
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP.LEME,NTAL GQNSTRUCTION LIEN LAW INFOR(VIAT101V
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.
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 Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice oJ Commencement must be recorded and posted a jobsite
before the first inxaectiort-# you i o obtain financing, con en or a orney before
commenr14V work or recoedinzqour Notice of Commence t.
,.Signature of Owner/ Less ntractor as Agent for Owner
gnature actor/License Holder
FLORIDA ' 1 1
COUNTY OFF l_UCIQ-
STATE OF FLORIDAC `
COUNTY OF VT_WC1Q
.
The fo oing instru m: %vas acknowledg before me
this day of V-0U . 20 by
The going instru nt was acknowledgpd before me
this c�t day of � 201`7 by
L 'fr'\J
Name of person n4aking statement
Name of perkb making statement
Personally Known _D OR Produced Identification
Personally Known _ b4 OR. Produced Identification
Type of Identification
Type of Identification
Produced
Produced
,r/�' I ^`1(�
i, 1 I • V VI�CY-�`
art
Rum w
(Signature f otary Public- St f I r'
Si � ature of N t ry Public- State of Florida )
C a� ( �ry Pudx Stets o(Flo
Commission No. (S9>9tty N Wood
o ission No. to of Flo tle
+� My Commiselan GG 241
9a Espires 0714520YY
Amy N W000
M% Commissron GO 241045
Expires 0712512022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
From: Lorry Neese Fax: 17723616580 To:
Fax: (772) 462-1578 Page: 2 of 2 03/13/2019 10:04 AM
._11 � ,'Z'ZNF
�T.
DESIGNER/ENGINEER. —Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State: _
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
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.
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinR-work or recordine vour Notice of corrimpnr onnonr
STATE OF FLORIDA o STATEE F
COUNTY OF S 1 1 U e.r ?_ COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 11 day of_ May zo 18by this 11 day of May .20 18 by
;•-a.c C. &) ec S .� v( L*0 C C d C L I
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public - of Florida) (Signature o� Public- StafaeWoricla }
Personally Known OR Produced Identification _ Personally Known OR Produced Identification
Type of Identification Producedtnn2nnnn=- Type of Identification Produced mA _
W gTRC'
Commission No. Commission �* ,('� tnnsslor`aFF14os29
wM' EXP'M:Ju1110,2020
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS