HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/2/20 Permit Number:
RECEIVED
� JAN 0 2 1020
__.._,_ Building Permit Application
Planning and Development Services
PerS�ttL 9 e
Cou Department
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
PROPOSED IMPRO.VEMENfl-dCATION„
Address: 6624 ALEMENDRA STREET FORT PIERCE FLORIDA 34951
Property Tax ID#: 1306-500-0362-000-2 Lot No.17
Site Plan Name: Block No. 75
Project Name: HENDERSON
DETAfLEDDESCRIPTION OF WORK
RE ROOF SHINGLE TO SHINGLE
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 5/12 Pitch
Total Sq. Ft of Construction: 2600 Sq. Ft.of First Floor: 2600
Cost of Construction:$ 8600 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR:
NameJOHN HENDERSON Name:EDWARD LECHNER
Address:6624 ALEMENDRA STREET Company:EDIFICIUM CONSTUCTION LLC
City: FORT PIERCE State:_ Address:1215 CASTAWAY BLVD
Zip Code: 34957 Fax: City: VERO BEACH State:FL
Phone No. Zip Code: 32963 Fax:
E-Mail: Phone No 772 643-4513
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.
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SUPPLEMENTAL CONSTRUCTON LIEN'LAW INFORMATION
DESIGNER/ENGIN
EER: Not Applicable MORTGAGE COMPANY: „i 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 INTEN TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDERO AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT:'
Signature of Owner/Lessee ontractor as Agent for Owner Signature of Contractor/L erase Holder
STATE OF FLOR,DA STATE OF FLORID„
COUNTY OF c�,VA i',�q�/ ,�rl�/fic COUNTY OF Y K til- _ Q d_r&_k
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of S f},�[A 2QA2—by this-Zday of 1 2011 by
Name of person Faking statement. Name of person making statement.
Personally Known )e— OR Produced Identification Personally.Known dL OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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r° Rand public State f Flari
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MY Commission GG 30
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(Signature of Notary Public-State o (Signa a of Notary Pub c-State of Florid
'ka Notary PUM S to of Flc,
Commission NorC��- _ 'L !�'j (Seal) Commission No ; Randy G B
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19
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