HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 a\ SCABNNED Permit Number: , `CJ3 Jo qG
St. Lucie County
-Building-Permit Application - MAR ---
Planning and Development services
Building and Code Regulation Division [._REC:EIVE:D
Lucie Con,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof ., Yr,-ZAa\ - '�\Ou+S
PROPOSED IMPROVEMENT LOCATIQN:
Address: 3131 Old Edwards RD Fort Pierce, FL 34981
Legal Description: 29 35 46 BEG NE 1/4 OF SW 1/4 OF NE 1/4 OF SEC, TH N 00 15 36 E ALG 1/4 1/4 1/4 SEC LI 13.89 FT TO S
RAN U OF OLD EDWARDS RD, TH N 89 0904 E ALG S RAV U 17.53 TO E RAN U OF OLD EDWARDS RD, TH N W 0449 ALG E RMILI 15.92 FT, TH S 85 09 33 E
Property Tax ID #: 2429-131-0006-000-8 Lot No. N/A
Site Plan Name: Block No. N/A
Project Name: Specker House Re -Roof
Setbacks Front . Back: Right Side: Left Side:
Remove and replace existing roof covering on house
Extreme Metal: 5V FL20378-RI
Titanium PSU 30 : F111602-R7
C�HVAC
0 Electric
0 Plumbing
LJ Shutters
Generator
0 W indows/Doors
O Roof 7/12
Total Sq. Ft of Construction: 4200 S Ft. of First Floor: 4200
Cost of Construction: $ gig �� � Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameHoward Specker
Name: LARRY NEESE, LLC
Address:3131 Old Edwards Road
Company: LARRY NEESE, LLC
City: Fort Pierce State:Fl
Zip Code: 34981 Fax:
Phone No.772-370-5010
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.
1r?
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 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 payi ice for
improvements to your property. A Notice of Commencement must be recorded and post on the jobsite
before the first inspection. If you intend to obtain financing, consult with le er or an orney before
commencing w cordin our ice of Commencement.
er/ Lessee C tractor as Agent for Owner
SignaturerFLO
Signatu a of ntractor/L
ens Holder
STAT Oc r�
CO LUl ��
STAT OF FLORIDA
LUCIC
()�
CO TYOF
The fgrgoin � nstru e t as acknowledgerJ before me
this da ofr 20 b
The fo�goin nstr was a knowledged before me
this dayof 20 b
Larry ti t6t
L(zrry kkes-e
Name of pe on making statement
Name of p r n making statement
Personally Known _Q, OR Produced Identification
Personally Known
OR Produced Identification
Type of Identification
Type of Identification
Prod c d
Produced
(Signature Notary Public -State of Florida)
(Signal re gotary Public -State of Florida )
Commission No. Cblio Srob of FWde
ommission No.
Nou(y �e51ero a Fiorioa
qmy N Wood
My Commission GG 247e45
. Y Amy N Wood
My Commnsron G6247B45
E ro� 07/25f2022
Eapire� 07125/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE TMANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
IEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17