HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONti
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a SCANNED Permit Number:
BY RECEIVED
�d St. Lucie County
— ----- -- -Building Permit-Applicatio vermtttln9
Plaonin and Development . Lucie County
9 P ST
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT:LOCATION:
Address:
Legal Description: 29 35 40 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
RMJ U OF OLD EDWARDS RD. TH N 8909 04 E ALG S RM/ a 17.53 TO E RM LI OF OLD EDWARDS RD, TH N W N 49 ALG E Rmtu 15.92 FT, TH S a5 09 33 E
Property Tax lD #: 2429-131-0006-000-8 Lot No.N/A
Site Plan Name: Block No. N/A
Project Name: Specker Garage Re -Roof
Setbacks front Back: Right Side: Left Side:
I,QETAILED DESCRIPTION OF;WCQRK:
Remove and replace existing roof covering on detached garage
Extreme Metal: 5V FL20378-R1 ------
Titanium PSU 30 : F111602-R7
ing UShutters Wind
ars E Generator R1 Roof
Total Sq. Ft of Construction: 1600 S Ft. of First Floor: 1600
Cost of Construction: $ f (7T n' Utilities..
Septic Building Height:
OWNER/LESSEE;
CONTRACTOR:
Name Howard Specker
Name: LORRY NEESE, LLC
Address:3131 Old Edwards Road
Company: LARRY NEESE, LLC
City: Fort Pierce State:FI
Zip Code: 34981 Fax:
Phone No.772-370-5010
Address: 3401 S. US HWY 1
City: FORT PIERCE State: FL.
Zip Code: 34982 Fax: 772-361-6581
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: larryneeseroofingcat@gmail.com
State or County License: CCC1330608
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
k.A.
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.
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-resident use
WARNING TO OWNER: Your failure to R a Notice of Commencement may result in your ng twice for
improvements to your property. A Ice of Commencement must be recorded and ed on the jobsite
before the firs ' ection. If y Intend to obtain financing, cons der o n attorney before
comn.ianzirrig work r recor ' a your Notice of Commencement'
of Owner/ ee/Contractor as Agent for Owner
SOTY
Sig�Contractolense Holder
O RIDA � LUCI e
OF �
COUNTY OFL �U CI C
T
The f oing instrument as ac nowledge before me
this�,dayof ar 20 by
The for oing instrument as ac nowledg before me
thisXdayof ,20� by
w r e cy e_
(IV' y N_eesp-
Name of pers5fn making statement
Personally Known Ct OR Produced Identification
Name of p on making statement
Personally Known —0--OR Produced Identification
Type of Identification
Type of Identification
Prod s d
I
Producedb
(�y
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(Signature oo/t''arryy Public- State of Florida
(Signature oUotary Public- State of Florida I
Commission No.Gl��of Nt&l -Pil cStateofFiorkla
Amyy N Wood
y My Commission 22 241845
q Expires 07125/2022
CommissionNof"6A I,b„„1,1�p,;lj5troafFWde
Amy N Wood
My Commission GG 241545
runims 0712512022
ZONING
SUPERVISOR
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Rev.8/2/17