HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED qV ��""��^�(/`//��/�
Date: Permit Number: v
RECEIVED
.:.. _.,— APR 0
2 2010
Building Permit ApplIc A���® "ImItting oepartment
Planning and Development Services °�V„�V St, LRv,? cownty
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 170 SE El Sito Ct Port St Lucie, FL 34983
Legal Description: RIVER PARK -UNIT 5- BLK 53 LOT 9 (MAP 34/28S) (OR 1265-1826)
Property Tax ID #: 3419-540-0324-000-1
Site Plan Name:
Project Name: Brooks Re -Roof
Setbacks Front Back: Right Side: Left Side:
Lot No.9
Block No. 53
DETAILED DESCRIPTION OF WORK: III
Remove and replace existing roof covering
Polyglass Modified Bitumen - FL1654-R23
CONSTRUCTION INFORMATION:
rtiona wor to e orme under t—checkispermit a apply:
CJHVAC f]GasTank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof > 2/12 Roof pitch
Total Sq. Ft of Construction: 1300
Cost of Construction: $ 8,200
S Ft. of First Floor: 1300
Utilities:cnSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSelena Brooks
Name: LARRY NEESE, LLC
Address:170 SE El Sito CT.
Company: LARRY NEESE, LLC
city: Port Saint Lucie State:Fl_
Zip Code: 34983 Fax:
Phone No.561-685-6003
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@grnail.com
State or County License: CCC1330608
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
.-M .
SUPPLEMENTAL CONSTRUCTION•L'IEN 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 Countyy 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 ma our paying ice for
improvements to your roperty. A Ice of Commencement must be r orded and st a jobsite
before the first i ectio . If y Intend to obtain financing, consult w th lender or torney before
commencing ork or re rd' g vour Notice of Commencement.
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Signature Owner/ /Contractor as Agent for Owner
Signature of Con actor/Licens older
STATE O RIDA , 1 ,
COUNTY OF U�CI i
STATE OF FLORIDA
COUNTY OF C,
The f going instru ent was acknowledgedbefore me
this day of 20by
The forgoing instru ent was acknowledg, before me
this day of r� 201 by
LQ.rr\/ ►\Itme
L&Cc\I WC
Name of rs n makingstatement
Personally Known pOR Produced Identification
Name of erson making statement
Personally Known jD(— OR Produced Identification
Type of Identification
Type of Identification
Pro ed L�j��
n "l..JcJt%
(Signature f Notary Public- State of Florida)
Commission No t��q gppObi SteKOf Florloa
C AinyN'Wood
+� My Comrm"lon GG 241845
Ojp6 Expires 0712512022
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Signature o Notary Public -State of Florida )
CSC SS 1
mmission No. e
Notary P 61x:�fete of Flomio
Amy N Wood
My Comnuaeron GG 241646
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Rev.8/2/17