HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ? - 62 — zv z-n
Permit Number:
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
PERMIT APPLICATION FOR: REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 101 GOTHAM RD
Property Tax ID #: 1432-805-0132-000-5
Site Plan Name:
Project Name: PE:GGY JOHNSON
DETAILED DESCRIPTION OF WORK:
REROOF SHINGLE
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 7,500
OWNER/LESSEE:
Name PEGGY JOHNSON
Residential X
Lot No. 132
Block No.
Gas Piping _ Shutters _ Windows/Doors Pond
_ Sprinklers
Address:101 GOTHAM RD
City: FORT PIERCE State:
Zip Code: Fax:
Phone No,
E-Mail:
Generator — Roof 4/12 Pitch
Sq. Ft. of First Floor: 2000
Utilities: _ Sewer _ Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:EDWARD LECHNER
Company:EDIFICIUM CONST
Address:1215 CASTAWAY BLVD
City: VERO BEACH State: FL
Zip Code: 32963 Fax: _
Phone No 772-643-4513
E-Mailedificlumroofing@gmail.com
State or County License CCC1 331308
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:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ rnNTRAr7C1R ACCIM1IT1::_._ :_
- - - - - --- --. — - - . r+Frp,iwu-1 - 1 1- ;!uy illaue to ootain 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 on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Les Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF INMAN RIVER
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 21 day of JULY 2020 by
EDWARD LI_CHNER
Name of person making statement.
Signature of Contra cto Li ense Holder
STATE OF FLORIDA
COU NTY O F INDIAN RIVER
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 21 day of JULY 2020 by
EDWARDLECHNER
Name of person making statement.
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
tSlgnature of.,Pd'otary Public- St
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