HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED "T��•
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• w FEB 1 8 2020
Building Permit Applic I��ii�tir�g Department
Planning and Development Services
Building and Code Regulation Division Wit° LU C I O County, 9L
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:ROOF
PROPOSED If1%IPROVEMENT LOCATION:
Address: 5115 Silver Oak DR Fort Pierce, FL 34982-7461
Property Tax ID#: 3402-606-0105-000-9 Lot No.
Site Plan Name: Block No.
Project Name: INGRAM
DETAILED DESCRIPTION
RE ROOF SHINGLE TO SHINGLE
- �
CONSTRUCTION INFORMATION.;
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Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
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_Electric _Plumbing _Sprinklers _Generator —Roof 5/12 Pitch
Total Sq. Ft of Construction: 4100 Sq. Ft.of First Floor: 4100
Cost of Construction:$ 13000 Utilities: _Sewer _Septic Building Height: 13
OWNER/LESSEE k ,t CONTRACTOR
NameRa mond L Ingram Name:EDWA
RD LECHNER
Address:5115 SILVER OAK DR Company:EDIFICIUM CONSTRUCTION
City: FORT PIERCE State:_ Address:1215 CASTAWAY BLVD
Zip Code: 34982 Fax: City: VERO BEACH State:FLO
Phone No. Zip Code: 32963 Fax:
E-Mail: Phone No
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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB S BEFORE THE FIRST INSPECTION. IF YOU INTEND 79 OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O A ATTORNEY BEFORE RECORDING YOUR NOTICE OF MMENCEMENT."
Signature of Owner/Lessee/C t ctor as Agent for Owner Signature of Contractor/ (cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF iiiiii;ZZNA IA cJ ,. COUNTY OF ;Z;dLA4.0li
The forgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this/7 day of 20 aiy this_day of � ,20_& by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known lkC OR Produced Identification
Type of Identification pe of Identification
Produced EZOZ/t+NZO savdx3 �p"'O oduced
uoissi[uwoG A{rya otary Public State of Florida
selg O Apuea Randy G Bias
epuol j}o al0*Ugnd tieloN -%,X4 o MY Commission GG 302181
o,po� Expires 02114/2023
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State o F ori a
Commission No. (Seal) Commission No. (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