HomeMy WebLinkAboutROSWELL APP3All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
�o L�ucur
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
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LO
Address: 2756 niagara ave
Property Tax ID #: 1428-702-1105-010-8
Site Plan Name: SAN LUCIE PLAZA
Project Name: RD98 LLC
DETAILED DESCRIPTION OF WORK:
Commercial
ON:
0
Residential X
,b9,P /_Le_
Lot No.1 AND 2
Block No. 52
REROOF SHINGLE TO 5V METAL USING TU PLUS UNDERLAYMENT AND A LOW SLOPE ROOF WITH BASE AND CAP
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 V Roof 4111 Q
Total Sq. Ft of Construction: 2800
Cost of Construction. $ 14,400
Pitch
Sq. Ft. of First Floor: 2800
Utilities: — Sewer — Septic Building Height-
OWNER/LESSEE:
CON
Name! —� L
NamE
Address: 2756 NIAGRA AVE
Comp
City: FORT PIERCE State:
AddrE
Zip Code: 34954 Fax:
'
City: _
Phone No.
Zip Cc
E-Mail:
Phony
Fill in fee simple Title Holder on next page (if different f E-Mai
from the Owner listed above) li State ,
TRACTOR:
EDWARD LECHNER
any: EDIFICIUM CONST
ss:1215 CASTAWAY BLVD
/ERO BEACH State: FL
de: 32963 Fax:
No 772-643-4513
edificiumoffice@gmail.com
)r County LicenseCCC1331308
If value of construction is 2500 or more, a RECORDER Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
FAddress:
EMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:
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.
1 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 pfans, the Florida Building Codes and St. Lucie County Amendments.
The following bui€ding 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 thejobsite 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/ Le see Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 3o day of Nov 2020 by
EDWARD LECHNER
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
(signat�otaryta o Flo ida
Commission NO. OG302181 =O` V N tery Public state of Flo
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My Ct)MMISSIGn GG 3021
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REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contr Lse Holder
STAVE OF FLORIDA
COUNTY OF lND1AN RIVER
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 30 day of Nov 2020 by
EDWARDLECHNER
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced
14"J9ture fNotary Public- Sta
Notary Pume Stafe fFl,
ssian No. GG302181 .(S&IVy TY G Bias
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SUPERVISOR I PLANS VEGETATION � SEA TURTLE � MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW