HomeMy WebLinkAbout Building permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
S -5-r.
g
O
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:RE ROOF SHED
PROPOSED IMPROVEMENT LOCATION:
Address: 5113 PINETREE DRIVE FORT PIERCE FL 34982
Property Tax ID #: 3402-602-0141-000-1
Site Plan Name:
Project Name: NEUBERT SHED
Residential X
Lot No. 35.36.37
Block No.
DETAILED DESCRIPTION OF WORK: I
RE ROOF SHED SHINGLE TO SHINGLE
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors � Pond
Electric — Plumbing _ Sprinklers _ Generator — Roof 5112 Pitch
Total Sq. Ft of Construction: 3200 Sq. Ft. of First Floor: 3200
Cost of Construction: $ 11385 utilities: —Sewer _ Septic Building Height: 12
OWNER/LESSEE:
CONTRACTOR:
NameLUTHER NEUBERT
Name: EDWARD LECHNER
Address: 5113 PINETREE DRIVE_
Company:EDIFICIUM CONSTRUCTION
City. FORT PIERCE State:
Zip Code: 34982 Fax:
Phone No.
Address: 1215 CASTAWAY BLVD
City: VERO BEACH State: FL
Zip Code: Fax:
Phone No
E -Mail:
Fill in fee simple Title holder on next page ( if different
from the Owner listed above)
E -Mail EDIFICIUMSONSTRUCTION LLC
State or County LicenseCCC1331308
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC 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
structure. PleasleCconsult withpyour applicable
ome owners Associationtiandrules,review
ebylawsdeed for covenants estr ct ons which may aprohibit such
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attar a before commencing work or recordin our Noti of Commencement.
Signature of Owner/
as Agent for Owner I Signature of Contractcir/L'ItzeKse Folder
STATE OF FLORIDA STATE OF FLORIDA 4w c",
COUNTY OF : 0t," til COUNTY OF ��.
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
6./ Physical Presence or Online Notarization Physical Presence or Online Notarization
this day of 2020 by this day of .2020 by
Name of person making statement. Name of person making statement.
Personally Known � OR Produced Identification
Type of Identification
(Signature of Notary Public -
Commission No.
REVIEWS FRONTI ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Nall ciancio
Personally Known OR Produced Identification
Type of Identification
Produced
90TARY PUBLIC(Signature of Notary Public
STATE OF FLORID
comm# GG971143 Com mission No.
Expires 3/1812024
SUPERVISREVIIEWOR REV/ W I NS VEGETATIREV EWON I SEA REV EWLE
)NOTARY PUBLIC
{STATE OF FLORIDA
nm# GG971143
Expires 3/18/2024
MANGROVE
REVIEW