HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8-25-2021 Permit Number:
9 71 LLUCOE O-L�M�-
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 METAL
PROPOSED IMPROVEMENT LOCATION:
Address: 8102 LAKELAND BLVD
Property Tax ID #: 1301-608-0015-000-1 Lot No.15
Site Plan Name: LAKEWOOD PARK -UNIT 8- BLK 87 LOT15 Block No. 87
Project Name: JACK WITTER
DETAILED DESCRIPTION OF WORK:
RE -ROOF SHINGLE TO METAL- STRIP OLD SHINGLES AND UNDERLAYMENT.
INSTALL NEW UNDERLAYMENT AND THAN INSTALL 5V METAL ROOF
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. It of Construction: 2541
Cost of Construction: $ 21,000
Gas Piping _ Shutters _ 7Roof
ws/Doors Pond
—Sprinklers _ Generator 6/12- 10/12 pitch
Sq. Ft. of First Floor: 2541
Utilities: —Sewer _ Septic Building Height: 20'
OWNERAESSEE:
CONTRACTOR:
NameJACK WITTER
Name:EDWARD LECHNER
Address:8102 LAKELAND BLVD
Company:EDIFICIUM CONST. BLVD
City: FORT PIERCE State: fL
Zip Code: 34951 Fax:
Phone No.772-465-4180
Address:1215 CASTAWAY BLVD
City: VERO BEACH State: FL
zip Code: 32963 Fax:
Phone N0772-643-4513
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail EIFICIUMROOFING@GMAIL.COM
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City;
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 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.
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Signature of Owner/ LesseeXontractor as Agent for Owner
Signature of Contractor/Lice e Holder
STATE OF FLORIDA
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STATE: OF FLORIDA
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