HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
5 �" mow.e•, t
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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 1MPROVE M;ENT LOCATION:
Address: 1395SJenkinsRdFortPierce,FL349474322
Legal Description: 133539E300FTOFS175FTOFSI/20FS1/20FNE1/4.OFNE1/4LESSE40FT(1.21AC)(OR1318604)
Property Tax ID#: 231311300040002 Lot No.
Site Plan Name: Block No.
Project Name: Shirley Hendrix Re Roof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK:
Complete Reroof of Low Slope Roof and Slope Roofs 5611 sft
New Low slope .25:12 roof is a built up Modified (like for like replacement). The 5:12 Slope roof is
5V Crimp Metal (removing metal shingles) -ILAT
II ��
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric El Plumbing Sprinklers E]Generator R1 Roof
Total Sq. Ft of Construction: 5611 S Ft.of First Floor: 5611
Cost of Construction:$ 29500 Utilities:Sewer RISeptic Building Height: 10,
OWNER/LESSEE CONTRACTOR
Name Shirley J Hendrix Name: Larry C Neese II
Address:1395 S Jenkins Rd Company: Larry Neese, LLC
City: Fort Pierce State:Fl Address: 2801 Sunrise Blvd
Zip Code: 34947 Fax: City: Fort Pierce State:FI
Phone No.772-461-5563 Zip Code: 34982 Fax: 772-361-6581
E-Mail: Phone No. 772-361-6580
Fill in fee simple Title Holder on next page(if different E-Mail: larryneeseroofing@gmail.com
from the Owner listed above) State or County License: Co.29238/St CCC1330608
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN'LAW INFORMATION:--
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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:roo ditions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to ano er non-residential use
WARNING TO OWNER:Your failure t ord a Notice of Commencement may r It in your paying twice for
improvements to your grope otice of Commencement rec ed and posted on the jobsite
before the ' st inspe tion. you intend to obtain financin onsult t ender or an attorney before
commen In wor r rec din our Notice of Commenc ment.
s
_Signa a of Owner/Les ee/Agent S' nature o ntractor/License Holder
STA TE OF FLORID
COUNTY OF COUNTY OF
The for oing inst a was acknowledged b re me The for oing instrument was acknowledged before me
this /' day of �! 20 by this day of .20
20by
e of perso c nowledging) (Na erso cknowledging)
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(Signature of Notary Public-S ate of Florida) (Signature of Notary Public-State of Flori a)
Personally Known ORdi de =or%bly Known OR Prod ced enC t
Type of Identification Produced :�?os ftpN Type o dentification Produced ((�)
i�Statef Florida
�A P;-My Comm.Expires Mar 2 ,�������, D ONE
Commission No. 'o;TF eal) Commission EE 8 7M sion No. o•`,aY P� �
;e .n Notary Public- ate of Florida
Bonded Through National Wary Assn. -
=• :•5 My Comm.Expires Mar 22,21117
Revised 07/15/2014 Bonded Through National Notary Assn.
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