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HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE AC EPTED Date: 1-18-20 Permit Number: - y - © LY 0 "_ - Building Permit Application Planning and Development Services Building ond Code Regulation Division Commercial Residential x 2300 Virginia Avenue, Fort Pierce FL 24982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR:robert le vien PROPOSED IMPROVEMENT LOCATION: Address: 1392 NETTLES BLVD Property Tax ID #: 450250115790007 Lot No.1392 Site Plan Name: Block No. 3810 Project Name: LE VIEN I DETAILED DESCRIPTION OF WORK: REROOF SHINGLE TO SHINGLE RESISTO UNDERLAYMENT OWENS gORNING DURATION New Electrical Meter Second Electrical Meter I CONSTRUCTION�INFO�RMAT�ION:����� 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 5112 Pitch Total Sq. Ft of Construction; 1200 Sq. Ft. of First lour: 1200 Cost of Construction: $ 5000 Utilities: _ Sewer Septic Building Height: !C OWNERAESSEE: CONTRACTOR: Name ROBERT LE VIEN Name: EDWARD LECHNER Address:1392 NETTLES BLVD Company: EDIFICIUM P Y� CONST City: JENSEN BEACH State: Address:1215 CASTAWAY BLVD Zip Code: 34957 Fax: City: VERO BEACH � Slate: FL Phone No. Zip Code: 329 E-Mail: Phone No772643-4513 3 Fax: Fill in fee simple Title Holder on next page ( if different E-Mailedificlu roofing@gmaii.com from the Owner listed above) State or Counl License CCC1331308 I If Value of conctmrtinn is 7Snn nr m ^ -o Qrrnonen ni -- ------ — cn.ernen�r Pc4uieeu. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is req ired. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO DESIGNER/ENGINEER: _ Not Applicable MORTGAG ' COMPANY: Not Applicable Name: Name: Address: City: Address: City: State: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: City: Zip: Address: City. Zip: Phone: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a dermit 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 tlhe permit holder to build the subject structure which is in conflict with any appiicable Home Owners Association rules, bylaws or end 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 Co inty Amendments, The following building permit applications are exempt from undergoing a full cone rrency 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 Retort! a Notice of CommenceJ nt may result in paying twice for improvements to your property. A Notice of Commencement st be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspecti. If you intend to obtain financing, consult with lender oran attorne before commencin work or recordiyour Notice of Commencement. Signature of Owner/ Lesse tractor as Agent for Owner Signature of C nistractor e Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF INDIAN RIVER COUNTY OF IkDIAN RIVER Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization this 1$ day of BAN Jj�� by zo z.t MWARDLECHNER Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced i (Signature Notary Public- State otj&61 Sworn to (or of irmed) and subscribed before me of x Physical Presence or Online Notarization this day o ,'3`y Aj - 'by Z� f EOWARDLEGHNER Name of person making statement. Personally Known X OR Produced Identification Type of ldentifi cation Produced GG302181 ` Y Pt'+ Notary Puohc State f " o m Commission No. r} Randy G Bias Commis MY CUMMIS5fon GG 0218: ?� �pa� EXpires 0211412023 REVIEWS FRONT ZONING SUPERVISOR PLAINS COUNTER REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED of Notary Public- State of Florida )11 No G0302181 _ al PubE�c State of FI �� andy G Sias MY CQmmissvon GG 3 2 1 VEGETATION SEA TUR L REVIEW REVIEW REVIEW