HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date;
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential ****
PERMIT APPLICATION FOR: RE -ROOF SHINGLE TO SHINGLE
PROPOSED IMPROVEMENT LOCATION:
Address: 7705 HOLOPAW AVE FORT PIERCE, FLORIDA 34951
Property Tax ID #: 1301-605-0138-000-0
Site Plan Name: LAKEWOOD PARK -UNIT 5- BLK 45 LOT16 (MAP 13111N)
Project Name: JORGE GARCIA
Lot No. 16
Block No. 45
DETAILED DESCRIPTION OF WORK: i
REMOVED SHINGLES AND UNDERLAYMENT, RENAIL DECK PLYWOOD, ATTACH AN NEW UNDERLAYMENT
(PEEL AND STICK) AND LAST INSTALL THE NEW SHINGLES
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 _j, Roof 3112 Pitch
Total Sq. Ft of Construction: 1464
Sq. Ft. of First Floor: I (o�f
Cost of Construction: $ 8,376 Utilities:
_ Sewer _ Septic Building Height: 15'
OWNERAESSEE:
CONTRACTOR:
NameJORGE GARCIA
Name: EDWARD LECHNER
Address: 7705 HOLOPAW AVE
Company: EDIFICIUM CONSTRUCTION LLC
City: FORT PIERCE State: F
Address:1215 CASTAWAY BLVD
Zip Code: 34951 Fax:
city: VERO BEACH State: FL
Phone No,772227-0049
Zip Code: 32963 Fax:
E-Mail:JG4229638@GMAIL.COM
Phone No 772-643-4513
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 LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAG! COMPANY:
Name: Name:
Address: Address:
City: State: City: -
Zip: Phone Zip: Phone:
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: - ` .,_.._Not Applicable
Address: Name:
City: Address:
Zip: Phone: City:
Zip:. Phone: -
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noyywork or installation has commenced prior to the issuance of a permit.
whiLucie
h is n conflict with any representation
e oat wners Association lrules,ill abylaws or andpermit
covenannts that maydrestr ctborprohibits 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 respthcts, 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 haying 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 recordin your Notice of Commencement_
Signature of Owner/ Lessee/Co actor as Agent for Owner
STATE OF FLORIDA
COUNTY OF__r,,,
swam (or affirmed) and subscribed before me of
11 Physical Presence or Online Notarization
this--iNday of 202 by
Name of person making statement.
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DATE
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:g_nat_ureof Contrac rA certse Holder
STATE OF FLORI
COUNTY OF 4 ��
Sworn (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
this P'clay of 2021 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
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COUNTER REVIEW SUPERVISOR
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