HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 1, 2019 Permit Number: jQ f1E 5� oC:n 0
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Planning and Development Services
Building Permit Application per St. `9�Co� ty "CANNED
BY
Building and Code Regulation Division St. Lucie COUP
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof III
PROPOSED IMPROVEMENT LOCATION:
Address: 11827 Orange AVE Fort Pierce, FL 34945
Legal Description: 9 35 39 E 1/2 OF W 1/2 OF E 1/2 OF NW 1/4 OF SW 1/4-LESS S 547.82 FT AND LESS ORANGE
AV R/W AS IN PB 22-16- (3.07 AC)
Property Tax ID #: 2309-321-0002-000-4 Lot No. N/A
Site Plan Name: Block No. N/A
Project Name: Sproul Re -Roof
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
Remove and replace existing roof covering
Extreme Metal 5V : 20378.6
Titanium PSU 30 : FL11602-R7
"P01i\/q1Q s NJOo Akch FL1U5u—R93
CONSTRUCTION IN
0HVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2700
Cost of Construction: $ 16,500
Piping ❑_Shutters Windows/Doors
nklers Generator Roof 3/12
S Ft. of First Floor: 2700
Utilities:llSewer OSeptic
Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name William Sproul
Name: LARRY NEESE
Address:11827 Orange AVE
Company: LARRY NEESE, LLC
City: Fort Pierce State: FL.
Zip Code: 34945 Fax:
Phone No. (561) 719-8209
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@gmall.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: Xx 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, 1 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 Noti Commencement must be recorded and posted on the jo ite
before the firstJaspectiorHf you !0Ze1Td to obtain financing, consyJ1.wftft1e—n-dLrpr an attorne re
commencing,vVork or rec91'din our Notice of Commencem
Signa a of Owner /Contractor as Agent for Owner
Sign ure o o License Holder
TATE OF FILc,
OU c�F•Lucic
ST TE OF FLORID
CO TYOF Lucic
The fo= ing instru n w s acknowledged before me
this day of �, 20t by
The fQQrr� oing instrument was acknowledged before me
thism day of m'i�'%y 20 q by
Larry C Neese
Larry C Neese
Name of person making statement
Personally Known �—OR Produced Identification
Name of person making statement
Personally Known � OR Produced Identification
Type of Identification
Type of Identification
Produced
DA n - �m�
Produced �j���//��y�^p/I(
0"\ n' V V RAJ
(Signature otary Publi -Sae f FI r'd
(Signatur Notary Pu ' - r'
E, Pu is State of Florida
Commission No. C�I Amm
+� My Comnussion GG 241646
@p Expires 07/2512022
�1 Ro a pu c Slate of Florida
Commission No QI gm od
My Commrasion GG 241645
apP/ E><pires 07r25r2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17