HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number:
•
- - 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
PERMITTYPE:RE ROOF SHINGLE TO METAL
PROPOSED IMPROVEMENT LOCATION ,
Address: 5018 HICKORY DRIVE FORT PIERCE 34982
Property Tax ID#: 3402 608 0212 000 8 Lot No.1
Site Plan Name: Block No. 46
Project Name:
'DETAILED DESCRIPTIONOFWORK: z ,
REMOVING SHINGLES AND INSTALLING METAL )t19
.CONSTRUCTION INFORMATION:-,
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof 4:12 Pitch
Total Sq. Ft of Construction: 1600 Sq. Ft.of First Floor: 1600
Cost of Construction:$ 9500 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR:} r
Name Name:EDWARD LECHNER
Address: Company: CONSTRUCTION LLC
City: State: l� Address:1215 CASTAWAY BLVD
Zip Code: 3W �r Fax: City: VERO BEACH State:FL
Phone No. Zip Code: 32963 Fax:
E-Mail: Phone N0772 643-4513
Fill in fee simple Title Holder on next page(if different E-Mail EDIFICIUM ROOFING@GMAIL.COM
from the Owner listed above) State or County License CCC1 331308
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLE'MENTAL;CONSTRU' iON LIEN LAW IN�FORMATIO'N
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
Ilcertify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Which is in con tlictwith 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.
I n 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder,
STATE OF FLORIDA STATE OF FLORIDA
; COUNTY OF Z:dZ4?r4�c�W d r�X COUNTY OFF/1S14 zV
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The forgoing.instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1.2_day of ,A/D V 20_Ly by this day of ,Q/a 1/ 20_Z3 by
Name of person making statement. =" Name of person making statement.
Personally Known 1�e' OR Produced Identification Personally Known_�C OR Produced Identification
Type of Identification _Type of Identification
Produced Notary Public State of Florid r uced ZOZ1K/Zo sendx3 v10
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Expires 02/14/2023
(Sig a of Nota/ryyPublic-State of Florida) stare of Notary Public-State of Florida)
Commission No. CT(530Z14/ (Seal) Commission No.tK?0J-I( � (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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