HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
n
o ��
P-111-040"F 7" Building Permit Application
Planning and Development Services
Building and' Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR:BRENDA LEWIS
PROPOSED IMPROVEMENT LOCATION:
Address: 7601 HIBISCUS RD FT P
Property Tax ID #: 1301-605-0040-0006
Site Plan Name:
Project !Name: LEWIS
DETAILED DESCRIPTION OF WORD:
RE ROOF SHINGLE TO 5V METAL
RE ROOF FLAT ROOF IN SBS MODIFIED BITUMEN
Lot No. 1 Z%
Block No. Z/ 1
New Electrical Meter Second Electrical Meter
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 2112 Pitch
Total Sq. Ft of Construction: 2600 Sq. Ft. of First Floor: 2600
Cost of Construction: $ 12610 Utilities: _ Sewer Septic
Building Height: 12
OWNER/LESSEE: CONTRACTOR:
Name BRENDA LEWIS Name:EDWARD LECHNER
Address:7601 HIBISCUS RD Company: EDIFICIUM CONSTRUCTION
p Y�
City.. FORT PIERCE State:. Add ress:1215 CASTAWAY BLVD
Zip Code: 34951 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-MailEDIFICIUMROOFING@GMAIL.COM
from the Owner listed above) State or County License
If ualna of rune}w"+�... i
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
Name:
Address:
City: State:
Zip'. Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: —State.-
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted o t e jobsite before the first inspection. If you i end to obtain financing, consult
with lender or an attorneif before commencing work or recordin our N ti e of Commencement.
Signature of Owner/ Lessee/Con ctor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �j�,(1Il t if COUNTY OF �— zzc
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this --P— day of A.' 2020 by
Name of person making statement.
Personally Known OR Produced identification
Type of Identification
Produced`
4nae ofNotary Public- State of Florida 1
Commission No
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
Physical Presence or. Online Notarization
this _JL day of / 2020 by
Name of person making statement.
Personally Known _k OR Produced Identification
Type of Identification
Produced
of Notary Public- State of Florida ]
pallcyr3,ouc8tat A4155i No %Et'�
Rai�Cly (i �i13S
� Pdy ':::rirrti�ssion G 30218t
SUPERVISOR
REVIEW VREVEWON 5EA REVIEW
"lorry public si
Randy G Bias
r f4'y i�L7r1Tf77iSS10n
REVIEW