HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date , Le,70- I ((jj—1 Permit Number: -( s
SCANNED
- St. Lucie C ou* =County,
Building Permit Application
Planning and Development Services
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: III
Address: 10701 S Ocean Dr Lot 675 Jensen Beach, FL 34957
Legal Description: VENTURE OUT -SECTION C- LOT 76 (OR 2993-2221; 3304-1626)
Property Tax ID #: 4511-805-0076-000-5
Site Plan Name:
Project Name: Sigler Re -Roof
Lot No.76
Block No. n/a
Setbacks Front Back: Right Side: Left Side: II
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering and replace with Extreme Metal 5v Roof Covering.
Extreme Metal 5V : 20378.6
Titanium PSU 30 : FL11602-R8
I CONSTRUCTION INFORMATION: III
HVAC L_IGas Tank UGasPiping I _JShutters
Electric . ❑ Plumbing ❑Sprinklers ❑ Generator
Total Sq. Ft of Construction: 980 S Ft. of First Floor: 980
Cost of Construction: $ 8,000 UtilitiesSewer ❑Septic
❑ Windows/Doors
Roof 3/12 Roof pitch
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
NameJanet R Sigler
Name: LARRY NEESE, LLC
Address:10701 S Ocean Dr Lot 675 a
Company: LARRY NEESE, LLC
city: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. (407) 342-1258
Address: 3401 S. US HWY 1
City: FORT PIERCE State -FL.
Zip Code: 34982 Fax:
Phone No. 772-361-6580
E-Mail:gtsigler@att.net
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.
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 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 contlict 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 paying twice fo
improvements to your property. A Noti ommencement must be d and p e jo site
before the first i on. If yo nd to obtain financing, co with le nde n attorney before
com work o_rndcor ' mmence nt. our Notice of Co
of Owner/ Le;/Contractor as Agent for Owner
SignaUfContrac/Lic seHolder
ieoIgnature
STATE OF FLOR 1 I I / iSTATCOUOF
LI Cie
The f r oing instrument was acknowledged -before me
The ffToing imnstrut was acknowledg before me
I day ine 20 by
thisTrdym ayofr)t 20by
this_day of
Larry C Neese
Larry C Neese
Name of person making statement
Name of pe son making statement
Personally Known (, OR Produced Identification
Personally Kno, 9E OR Produced Identification
Type of Identification
Type of Identification
Produ(1w n -4�Q� ced
Produ d
Nood
(Signature of o ary FIud1i stets of Florida
wood
(Signature oftary Publicip
aiEsion GG 241645
r
COmmIs510n No D125/2022
A
NotaryyPbliiStets of Florida
Omm155iOn NO"
MyJomMiaeiorl GG 241845
4 Expires 07/2512022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17