HomeMy WebLinkAboutENSMINGER APP3All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
1�rC�C�a�
C
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
:_1300 Virginia Avenue, Fort Pierce FL 34982
Phone. (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR:
NAN,CY ENSMINGER
PROPOSED IMPROVEMENT LOCATION:
Address: 14176 CISNE CIR
Property Tax ID #: 1306-500-0015-000-5
Site Plan Name: SPANISH LAKES FAIRWAYS
Project Name: BRADFORD
DETAILED DESCRIPTION OF WORK:
REROOF SHINGLE TO SHINGLE �-
- 1, I F :!� / t 11-0 /zz�. -2--4� 9
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential X
Lot No. 12
Block No. 37
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 V Roof // —Pitch
Total Sq. Ft of Construction:'
— � Sq. Ft. of First Floor:
Cost of Construction: $ _r� Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
Name
Address:
City: State: _
Zip Code: Fax:
Phone No.
E -Mail:
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 N0772-643-4513
E -Mail edificiumroofing@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
Mame: —
Name:
Address: Address:
City: State: City:
Zip: _ Phone State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable
Flame: 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 Horne 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 po ed on the jobsite before the first inspection. If yo tend to obtain financing, consult
orn
with lender or an at e before commencing work or recording you No ice of Commencement..
Signature of owner/ Lesse ontractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF COUNTY OF INDIAN RIVER
Sworn to for affirmed) and subscribed before me of
Physical Presence or Online Notarization
this. 1 day of - Ir °> 2020 by
Name of person making statement.
Personally Known_ OR Produced Identification
Type of Identification
Produced
(signatuAof__ry Public- S#ate of oridaComi'111s5n — DC7 er�'r�Gr Notary Fubli�
RandC.y G BiL
REVIEWS I FRONT I Z 0 N I N 6
_ SUP S
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
21 Physical Presence or x Online Notarization
this 21 day of OCT 2020 by
EDWARDLECHNER
Name of person making statement.
Personally Known x og Produced Identification
Type of Ide Itificatio t
Produced
Alnlcty
Fir3iltl'S't.i F74x.i •= _- r
r My Cc�t;l,rt;ssr
(Signature of Notary Public- Stat c0da.) A°'es r-;rare0.;;`
on o. GG 302181 (Seal)
GC 3021x31
PLA EGETATI
REVIEW REVIEW
ON SEA TURTLE MANGROVE
REVIEW REVIEW