HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
1� o Luau
O k. _
v Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential #####
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: RE-ROOF SHINGLE TO METAL
PROPOSED IMPROVEMENT LOCATION:
Address: 6603 GAVIOTA ST. FORT PIERCE, FL 34951
Property Tax ID#: 1306-500-0021-000-0
Lot No.6
Site Plan Name: SPANISH LAKES FAIRWAY Block No. 38
Project Name:
DETAILED DESCRIPTION OF WORK:
RE-ROOF SHINGLE TO METAL
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 Windgws/Doors _ Pond
Electric _Plumbing Sprinklers _Generator '✓Roof 5/12 Pitch
Total Sq. Ft of Construction: 2469 Sq. Ft. of First Floor: 2469
Cost of Construction: $ 20,756 Utilities: _Sewer _Septic Building Height: 15,
OWNERAESSEE: JFNae.
TRACTOR:
Name DONNA Ct1RRIE EDWARD LECHNERAddress:6603 GAVIOTA ST. any:EDIFICIUM CONST. LLC
City: FORT PIERCE State: 1215 CASTAWAY BLVD
� Address:
Zip Code: 34951 Fax: City: VERO BEACH
772-460-5502 State:FL
Phone No. Zip Code: 32963 Fax:
LF
: Phone No772-643-4513
ee simple Title Holder on next page(if different E-Mail EDIFJCIUMROOFING@GMAILCOM
he Owner listed above} State or County License CC"1331308
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: 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 resirictions 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.
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Signature of Owner/Lessee/Co tractor as Agent for Owner Signature of Contractor/Lice se Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF
Swgrn to(or affirmed)and subscribed before me of Swi pKto(or affirmed)and subscribed before me of
V Physical Presence or Online Notarization ,/ Physical Presence or__Online Notarization
this�;daay of �1.c- - , (2�020 by this rSday of�� 2020 by
Name of person making statement. f Name of person making statement.
Personally Known OR Produced Identification y Personally Known OR Produced Identification f/
Type of Identific on Type of ldenti • do
Prod �� (.I Produced 4 I_!Cam*
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ature of (Signature of Notar Public-S#a F o i
Notary Puhiic Stale of FSorcda
David E Mixon vaT°L� Notary F ut0itc State of Fi da
Commission No missson r(�*s5s Commissio ip. r-�xon Veal)
oiw Expires 62I24Q025
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Expires 72124t2425
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20