HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ���a`rO��� Permit Number: 1�11-6 553
RECEIVED
Building Permit Apptica ion NOV Q;
Planning and Development Services ,
Building and Code Regulation Division ST, Lude County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:RE ROOF ,
RROPOSED IIVIPROVEiVIENT LOCATION:
Address: 5541 TEAL TERRACE FORT PIERCE FLORIDA 34982
Property Tax ID#: 3409-503-0011-000-8 Lot No.8
Site Plan Name: Block No.
Project Name: O'DONNELL
DETAILED DESCRIPTION OF.WORK:
RE ROOF SHINGLES TO METAL
5- 0 C) I j5ro5<
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: 5700 Sq. Ft.of First Floor: 5700
Cost of Construction:$ 30000 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE. ." CONTRACTOR
NameNORMAN O'DONNELL Name:EDWARD LECHNER
Address:5541 TEAL TERRACE Company:EDIFICIUM CONSTRUCTION LLC
City: FORT PIERCE State:_ Address:1215 CASTAWAY BLVD
Zip Code: 34982 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 EDIFICIUMROOFING@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.
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:
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. 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 QR AN ATTORNEY BEFORE RECORDING YOUR NOTICE COMMENCEMENT."
Signature of Owner/Less /Contractor as Agent for Owner Signature of Contracto kens?Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Z:-/, 6 iAAJ 9 l uc e COUNTY OF `?--eiZ &Ai i t/(5—R
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this&2�day of 41,2 V '20 J$9 by this_2�day of /LU V ,20L� by
fi�__b ktI-A2A Llffe/y1/��P 6-A 4ZAez)
Name of person making statement. Name of person making statement.
Personally Known��OR Produced Identification Pe s ally Known_ �OR Produced Identification
Type of Identification :r�dpe Identification
Produced ,.r ►u,� Notary Public State of F od dNotary Public State of to a
Randy G Bias � Randy G Bias
oy Commission GG 30 a ,lv Commission GG 3C21:1
r ?oc Aon Expires 02/14/2023 + •hoc nog Expires 0204/2023
Signa a of Notary Public-State of Florida) (Signature o otaryPublic-State of Florida)
Commission No. !d''� (Seal) Commission No. l�� (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19