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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q (,, L1L i Date: Ij4 l-t'w'(� SCANNED Permit Number: 1 i©b-O" I11 St. Lucie 00011tiv RECEIVED Building Permit Application JUN 2 0 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 X PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address: 6004 Cassia Dr Fort Pierce, FL 34982 Legal Description: INDIAN RIVER ESTATES -UNIT 09- BLK 86 LOT 8 (MAP 34/12S) (OR 1032-369: 1038-1454) Property Tax ID #: 3402-610-0468-000-4 Site Plan Name: Project Name: Watson - Re -Roof Flat Setbacks Front Back: Right Side: Left Side: Lot No.8 Block No. 86 IIDETAILED DESCRIPTION OF WORK: Remove flat part of roof and replace flat part of roof only Polyglass Modified Bitumen: FL1654-R23 CONSTRUCTION INFORMATION: III 11HVAC U Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: 350 Cost of Construction: $ 3,300 Piping lJ Shutters nklers Generator S Ft. of First Floor: 350 Utilities:nSewer Septic Windows/Doors Roof 0.125 Roof pitch Building Height: OWNER/LESSEE: CONTRACTORt Name Eva M Tice -Watson Name: Address:6004 Cassia Dr Company: LARRY NEESE, LLC City: Fort Pierce State:FL Zip Code: 34982 Fax: Phone No. (772) 466-9194 Address: City: 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 $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 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 may result in your paying twice for improvements to your property.re A Notice of Commencement must be d and job posted on the before the first inf s ou intend to In financing, c with lender an attorne re commen ' ork or reco g your ice of Commence ent. gnature of Owner/ Lessee/Co trac r as Agent for Owner S nature of Contractor/Lice Holder S IDA STATE O COUNTY OF St. Lucie COUNTY OF St Lucie The f ing instru t was acknowlediP,Mbefore me this day �, 201 `1 by The oing instru�t�yQ'�s acknowI dg before me this day of (I ��1 ll' 20 by of . Larry C Neese Larry C Neese Name of per on making statement Name of per on making statement X Personally Known � OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produce J . h)nl 16 a -------- (Signature of Not _r, t i§$�� of Fiorim (Signature of ary P b is- to f .i 1 r �1 PUdk State of Florida ' aaa ' � Comm GG 241845 S{y¢ss Commission No. rpires 0742E 2 y N Wood Commission No micomfigdMlG.G 241645 ,p Expires0 2 2 22 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.S/2/17