HomeMy WebLinkAboutLOWERY APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-15-2020 Permit Number:
0
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 FORMILLIAM LOWERY
PROPOSED IMPROVEMENT LOCATION:
Address: 14300 ORANGE AVE
Property Tax ID #: 230713300050002
Site Plan Name:
Project Name: LOWERY
DETAILED DESCRIPTION OF WORK:
Residential x
REROOF SHINGLE TO SHINGLE, UNOERLAYMENT IS RESISTO ANO OWENS CORNING SHINGLES THE HOUSE !S 4112 PITCH WITH NO LOW SLOPES
Lot No.22
Block No. 16
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 4112 Pitch
Total Sq. Ft of Construction: 4,000
Sq. Ft. of First Floor: 4,000
Cost of Construction: $ 19,000 Utilities: _ Sewer — Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameWILLIAM LOWERY
Name:EDWARD LECHNER
Address:14300 ORANGE AVE
Company: EDIFICIUM CONST
City: FORT PIERCE State:
Address:1215 CASTAWAY BLVD
_
Zip Code: 34945 Fax:
City: VERO BEACH
Phone No,
State:
Zip Code: 32963 Fax:
E-Mail:
Phone No772-643-4513
Fill in fee simple Title Holder on next page ( if different
E-Mail edificiumoffice@gmail.com
from the Owner listed above)
State or County License CCC1331308
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 INFORMATIDN:
DESIGNER/ENGINEER: Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
City:_
Zip:
Phone:
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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 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/ _C.2
e /Contractor as Agent for Owner Signature of Contractor/License Molder
STATE OF FLORIDA
COUNTY OFIN DIAN RIVER
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15 day of DEC 2020 by
EDWARDLEGHNER
niame or person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Sure of Notary Public- State of Florida ]
Commission No. 13G302181 .6
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REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15 day of DEC 2020 by
EDWARDLEGHNER
Name of person making statement.
Personally Known x OR Produced identification
Type of Identification
Produced
(SiiVature of Notary Public- State of Florida )
'al Pubilc state of 1 GG302181
Randy G &as n Sion No.
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