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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r Il�� Permit Number: �2
RECEIVED
°
FE-B.2 71020
Building Permit Application
Planning and Development Services PerSt. Luc Department
St. Lucie irONfl€�Y
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
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PERMIT TYPE:ROOF
PROPOSED IMPROVEMENT LOCATION
Address: 1920 ROYAL PALM DR
Property Tax ID#: 2421-602-0038-000-2 Lot No.
Site Plan Name: Block No.
Project Name: CHICOYE
FPETAI'LED DESCRIPTION DF WORK:
RE ROOF CONCRETE TO 5V METAL
INCLUDE FLAT AT BACK
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 3112 Pitch
Total Sq. Ft of Construction: 2800 Sq. Ft.of First Floor: 2800
Cost of Construction:$ 11000 Utilities: —Sewer .—Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameLOUIS CHICOYE Name:EDWARD LECHNER
Address:1920 ROYAL PALM DR Company:EDIFICIUM CONSTRUCTION
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 No7726434513
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 TITLEHOLDER:. _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: i 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 THEB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDtJ OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT."
4u— ' — 4L
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _7/J A 1A M COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this a ,day of f ,� 20 zvby th`g7day of 20 by
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known 'Jt OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signatu reW Notary Public-State of Flo r' r ry Public-State of Florida)
�.►R*poi Notary.Public tate of Florida ow
Commission No.6�3eZ1.01 SS �: Randy G Bia Commission o.G 30 a..�P/ (S ly k ► to of
�j c� My Commission GG 302181 'S— �y hh�y, ��
?OF pow Exprcas 02i 141 23 'qcr nd� F f f20_,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev.2/7/19
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