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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l UNYY L 0 9t 3 © A Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34952 Phone: (772) 462-1653 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Roof PROPOSED IMPROVEMENT LOCATION: Address: 2402 Newport DrFort Pierce, FL 34982 Legal Description: ORANGE BLOSSOM ESTATES-21ND ADDN-2ND PLAT BLK 8 LOT 8 (0.21 AC) (OR 251-88) Property Tax ID #: 2421-609-0029-000-7 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No.8 Block No. 8 Aaaitiona+ worK to De erwrmea unser tnis permit— cnecK all apply: HVAC E] Gas Tank E]Gas Piping _Shutters Q Windows/Doors 11 Electric ® Plumbing Sprinklers n Generator ® Roof Total Sq. Ft of Construction: 3558 SFt, of First Floor: Cost of Construction: $ Utilities:nSewer ❑Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Mabel A Wasson Name: Larry Neese Address:2402 Newport Dr Company: Larry Neese Roofing, LLC City: Fort Pierce, State:FL Zip Code: 34982 Fax: Phone No. 772-519-8628 Address: 2801 Sunrise Burd. City: Fort Pierce State: FL Zip Code: 34982 Fax: 772-361-6581 Phone No. 772-361-6580 E -Mail: Fill in fee simple Title Halder on next page ( if different from the Owner listed above) E -Mail: larrygl_Nroof.com State or County License: FL 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 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: 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 thepermit 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 improvements to your property. A Notice of Commencement must b before the first i ection. Ifyoy intend to obtain financing, cons wit commen work r re wit Notice of Commencement. of Own/ Lessee/Agent STATES FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this ( (o day of _ 20 by C (Name of person dcknowledging ) (Signature of Notary Pu, lic-St-Sa arida } Personally Known +� OR Produced Identification Type of identification Produced - HEATHERRP Commission No. E' 1 v corMIssION 9 FF tx FXpIRES: July 10, 2C OF� Revised 07/15/2014 It in your paying twice for and post n the jobsite or ornev before SignatuKof Co ctor/License Holder STATE OF FLORIDA J COUNTY OF� C,I� The forgoing instrument was acknowledged before me this _ day of d r , 20 AID by (Name of person Acknowledging) AA"�� (Signet a of Notary Public- State of F I Personally KnownOR Produced Identification �R" of Identification Produced No. i' t` - - -Yp- - __H_ EATHER R W, COMMISSION # 1 o�fl- EXPIRES: July 10, REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4219072 OR BOOK 3900 PAGE 790, Recorded 08/10/20116 02:27:49 PM AFTER gB00Ftp[Nc,-XMlrKT0, - RMITNUMBER: I — NOTICE OIi+ COMMENCEMENT The undersigned hereby giver notice that improvement will bt made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1, DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 2421-60s-0029-000`7 SVBDIVI MW BLOSSOM ESaT R $ TRACT LOT a BLDG UNIT 2402 Newport Dr Fort Pierce, FL 34982 2. GENERAL DESCRIPTION OF IMPROVEMENT: re -roof 3. OWNER INFORMATION; a. Name Mabel A Wasson b. Addres Owner c. tttterest in property d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOWS NAME, ADDRESS AND PHONE NUMBER: Larry Neese, LLC 2801 Sunrise Blvd., Fort Pierce, FL 34982 772,361-6580 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER ANIS BOND AMOUNT, G- LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents tray be served m provided by Section 713-13 (I)(a) 7., Florida Statutes; NA'4M ADORUSS AND PROW NUMBER- S, In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section , 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: ,may 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is "� t specified) 20 c.j U - CD NC WARNING TO OWNER: ANY PAYMEIN'I'S MADE BY THE OWNER AEULt THE EXPIRATION OF THE NWICE QF gQMMFNCEMENi� C LL; AM CONSMERM NP OPER PAYMENTS OMER CMVrMA 713 PART t SECMN 7[3.t KMA S ArAF$,ANOCANLkLUt 1N OUR PAWING TWICE FOR IMMOVEMEN7S TO YOUR PROPERTY. A IVO CC OFC ME ST .JW2 AN Z m` P()57MQON TRE 1011 SITE BEFORE Tt ST.,1iSSP>;C110iV 11 YbU iNTE _ TO OBTAIN FINANCIN0. CONSULT ) fM YO U Lfih ER OR AN ATT RNEY BEFORE COMhfCsNCINQ WORK R RECtiRDWG YOUR -10TICEOFCOMMENCEMENT. L 5ignatare of Owzter or Print Name and Provide Signatory's 7Yrle/Diffce Lj- rq z —i o Owner's Authorized Ol ficerMirector/Partner/Manager w = cry M vs u� E- p State of FI da< t3 County of Thin ins m was ged before me thisQC29 _-day of 2D By as (N of person) (Type of authority...e.g. Owner, officer, trustee, attorney in fact) For -/M&/' ' 1c �� . (]+laof party on behalf of wham instrument was executed) Personally Known LulilA IVIEJIA NoWV Pubk - StO of Florida p 3�� My Comm. Expiraa Oct 11, 201 a (Printed Name of No Public) (Si azure of Notary Pu to} � - "eF "'�� t:nmrnlattan EE $42817 Under penalties of perjury, I declare that I have read the foregoing and that the faces it) it am true to the best of my knowledge and belief (section 92,525, FIorida Statutes). Signature(s) of Owrrer(s) or Owner(s)' Authorized Officer!Director/Partner/Martager who signed above: By Rev. 4WRn W7(Rm.,,edi-pi