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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ( l SCANNED Permit Number: j BY St. LucieCounty RE10200 Building Permit Applicatio Planning and Development Services JUBuilding and Code Regulation Division ST. Lucie mitting 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: 181 SE El Sito CT Port St Lucie, FL 34983 Legal Description: RIVER PARK -UNIT 5 ELK 52 LOT 14 (MAP 34/28S) (OR 779-1824; 3915-1624) Property Tax ID #: 3419-540-0305-000-2 Site Plan Name: Project Name: Jones Re -Roof Setbacks Back: Right Side: Left Side: Lot No.14 Block No. 52 DETAILED DESCRIPTION OF WORK: III Remove and replace existing roof covering Extreme Metal 5V : 20378.6 Titanium PSU 30 : FL11602-R8 CONSTRUCTION INFORMATION: AaarrionalworKIODenertormedunder tispermit—check all apply: [1Hv/ Gas Tank []Gas Piping In Shutters I� Windows/Doors DElectric 0 Plumbing Sprinklers O Generator Roof 2/12 Roof pitch Total Sq. Ft of Construction: 1600 S Ft. of First Floor: 1600 Cost of Construction: $ 10,500 Utilities: Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Brenda Jones Name: LARRY NEESE Address:181 SE El Sito CT Company: LARRY NEESE, LLC city: Port Saint Lucie State: FL Zip Code: 34983 Fax: Phone No. (772) 240-1927 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@gmail.com State or County License: CCC1330608 If value of construction is $2S00 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: EER: Xx Not Na City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: Zip: BONDING COMPANY: _Not Applicable Address: City: 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, ' ns, screen rooms and accessory uses to another non-residents e WARNING TO OWNER: Your failure to ord a Notice of Commencement may result in your pa . g twice for improvements to your roperty. A ice of Commencement must be recorded and pos on the jobsite before the first' ec ' n. If you ' tend to obtain financing, consult wi r or a ttorney before commencing4ork.ef regording our Notice of Commencement. gns re of Owner/ Les /Contractor as Agent for Owner Signatu of Contra or/Li ns Ider ATE OF FL DA i ST E OF FLORIDA OUN St. Lucie CO NTY OF St Lu ' The forgoing instrum t was acknowledged before me M � The (�oing instr�I[�ent �y(a_s acknowledged before me day lJ ui Ll 2qa by this day of � 2019 by this f� of Larry C Neese Larry C Neese Name of pers n making statement � Name of per on making statement Personally Known OR Produced Identification Personally Known OZ OR Produced Identification Type of Identification Type of Identification Produced Produc ignature of No Pumv (Signatur of No Public- o/ Florioe Notary pudic Stets of FloriWCommission No. 241645 R mmission No.Amy K My Comesssi GG 241645aw Expires 0712512022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17