HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MOIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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
Commercial
Residential ****
PERMIT APPLICATION FOR
:REROOF SHINGLE TO SHINGLE
PROPOSED IMPROVEMENT LOCATION:
Address: 3474 SOUTHERN PINES DR. FORT PIERCE, 34982
Property Tax ID #: 2428-702-0038-000-0
Site Plan Name: SUNRISE HOMESITES
Project Name: CLARE WARNER
DETAILED DESCRIPTION OF WORK:
REROOF - SHINGLE TO SHINGLE
Lot No.14
Block No. 2
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 _ Windo�rvs/boors _ Pond
_Electric _Plumbing _Sprinklers
_ Generator �' Roof 3112 Pitch
Total Sq. Ft of Construction: 2232
Sq. Ft. of First Floor: 2232
Cost of Construction: $ 10,917 Utilities: —Sewer —Septic Building Height: 15'
OWNERAESSEE:
CONTRACTOR:
NameCLARE WARNER
Name: EDWARD LECHNE'R
Address: 3474 SOUTHERN PINES DR.
Company: EDIFICIUM CONST. LLC
City: FORT PIERCE State:F
Address:1215 CASTAWAY BLVD
Zip Code: 34982 Fax:
City: VERO BEACH State: FL
Phone No.706-331-7342
Zip Code: 32963 Fax:
E-Mail:
Phone No772-643-4513
Fill in fee simple Title Holder on next page ( if different
E-Mail EDIFICIUMROOFING@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 LAND INFORMATION.
DES NER/ENGINEER: Not App,icable
Name;
Address:
City_ State:
Zip:.. . Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Lip; Phone:
# MORTGAGE COMPANY; � Not Applicable
lNarne;
Address:
City; State:
ZIP: Phone: -
BONDING COMPANY; "—
Not Applicable
Name:
Address: -- —
j City:
Zip: Phone:
OWNER/ CONTRACTOR AFF16V- T; Application is hereby made to obtain a permit to do the work; and installation as indicated.
€ 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 author€ze the permit holder to build the subject
Which is conflict with any applicable Home Owners Association rules, bylaws or and Cotrenants structure
M That shay restrict ar 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 € will, in a#I respects, perform the w wk
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 ancrther non-residential use
WARDING TO OWNER. Your failure to Rec9rd a Notice of Commencernent may result in paying twice for
improvernents to your property. A Notice Of COMmencernent roust be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If yotc intend to obtain financing, consult
with lender or an attorne before c,omme cin work or recorc4in Vour Notice dal Ccsn�mencen ent•
.:, .._ ce
Signature of Owner/ Lessee/Contrac— r as Agent for Owner
STATE OFFL0gIDA ,
COUNTY OF�
Sworn to (or affirn-ved) and subscribed before me of
✓Physical Presence or online Notarization
this day of d 202@ by
r _
Name of person making statement.
Personally Known '--- OR Produced Identification
Type of identification
Prods "e
gnature of Notary Public- 5t
�. 146TARY PUBLIC
Commission No. o �SQT TE OF FLORIDA
rr## GG971143
Expires 311812t724
REVIEWS FRONT � ZONING
j COUNTE R REVfEW
DATE
RECEIVED
DATE
COMPLETED � I
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J
Signature of Contractci'[Licr�ise Holder
STATE OF FLORIDA �
COUNTY OF ,
Sw9m-to (or affirmed) and subscribed before mf: ofesence or Online
Physiral PrNotarization
this e� day Of
-
2D2o lay
Name o#person rriaking statemE,21t~�---
Personally Known OR Produced ider'3tification
Type of Identification
Produced _
e o`fi Nota P `lfe Stat�BYdrr; arc
Commission NO.
NOTARY PUBLIC
ItI$Iq OF FLORIDA
Omrn# GG971143
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