HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFQ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 'a- N t q
SCANNED Permit Number:
r , , 11,,,_t BY
® St. Lucie County RECEIVED
Building Permit Applicatic n MAR 21 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof - w`t� II
PROPOSED IMPROVEMENT LOCATION:
Address: 4045 Greenwood Or Fort Pierce, FL 34982
Legal Description: GREENWOOD BLK 2 LOT 15 (0.25 AC)(OR 1714-930)
Property Tax ID #: 2421-702-0048-000-2
Site Plan Name:
Project Name: Britton 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
Lot No.15
Block No. 2
NuumonaiworKcooe errormea unaermispermn— cnecKau n apply:
I�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers O Generator R3 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 3,000 S Ft. of First Floor: 3,000
Cost of Construction: $ 18,000 Utilities"nSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Britton
Name: LARRY NEESE, LLC
Address:4045 Greenwood Dr
Company: LARRY NEESE, LLC
City: Fort Pierce State:FL.
Zip Code: 34982 Fax:
Phone No. 772-579-1044
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@gmaii.com
State or County License: CCC1330608
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 TITLEHOLDER: _ 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-residential us
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your pa ' ice for
improvements to your property. A Noti mmencement must be recorded and po on the jobsite
before the fir ion. If you ' nd to obtain financing, with a der or attorney before
com on work record' our Notice of Commen ent.
Si ature of Owner/ Le a tractor as Agent for Owner
Signature of Contr tor/Li ense Holder
T ORIDA 1 ' '
COUNTY Luc
LORIDA
�. LUCIe
OF
COUNTY OF
The for oing instrument was acknowledged before me
The for oing instrument was acknowledged before me
TYI(XrCh
this day ofMarCh .20Lq. by
this dayof 20a by
Name of person making statement
Name of person making statement
Personally Known _X OR Produced Identification
Personally Known' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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udic Sfef� Of FloriW
(Signature of ary Public- State o r
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Commission No. �c-IG ay IleaM "'Min
prey 07Q,s2o22
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17