HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9-7-2021 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 xxxx
PERMIT APPLICATION FOR: RE -ROOF SHINGLE TO SHINGLE
PROPOSED IMPROVEMENT LOCATION: 179 SE PLACITA CT
Address: 179 SE Placita CTPort St Lucie, FL 34983
Property Tax ID #: 3419-550-0136-000-7 Lot No. 13
Site Plan Name: RIVER PARK -UNIT 7- BLK 71 LOT 13(MAP 34/28S) Block No 71
Project Name: Brittany C Adorno
DETAILED DESCRIPTION OF WORK:
REMOVE OLD SINGLES, RE -NAIL PLYWOOD, APPLY PEEL AND STICK UNDERLAYMENT,
THEN INSTALL 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 ✓ Roof 3/12 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer —Septic Building Height: 15
OWNERAESSEE: CONTRACTOR:
Name Brittany C Adorno Name: EDWARD LECHNER
Address: 179 SE Placita CT Company: EDIFICIUM CONSTRUCTION LLC
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City: Port St Lucie State: 1 Address:1215 CASTAWAY BLVD
Zip Code: 34983 Fax: City: VERO BEACH State: FL
Phone No. 772-777-0533 Zip Code: 32963 Fax:
E-Mail:ADORNOBRITT@ICLOUD.COM Phone No772-643-4513
Fill in fee simple Title Holder on next page ( if different E-Mail EDICICIUMROOFING@GMAIL.COM
from the Owner listed above) State or County License CCC1331308
If value of rnnrtrurtinn is 7rnn nr -. nrrnnnrn w, e__ _e
-- - -- I-IIIIrGIMWMC;IL a Mgwrefl.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRICTION. LIEN LAW INFORMATION:
Name:
Address:
City.
Zip: Phor
FEE SIMPLE TITLE H0LDE1R,
Name:
Address:
City:
Zip: Phone:
Not Applica
State:
Not Applicable
MORTGAGE COMPANY;
Name: Not Applicable
Address;
City: State:
Zip: -�. Phone:
SONDING COMPANY: Not Applicable
Name:
Address:
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 appficable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit
structure. Please consult with your Home Owners Association and review your deed For any restrictions which may a p ! t Such
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform t}7e wopk y
1e1 eCCOidBflee 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 tobsite before the first inspection. If you intend to obtain financing, consult
with leader oran ittorna,y before commencin work or recordin Your Notice of Commencement.
Signature of Owner/ Lesse Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Swor (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this *day of r fJ, 242V by
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Name of person making statement.
Personally Known OR Produced Identification
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Signature of Contra icerise Holder
STATE OF FLORIDA
COUNTY OF
Sw`ornn to (or affirmed) and subscribed before me of
__� rhysical Presence or online Notarization
this —at'day of "r 202J by
Name of person maltin�statem�en�
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Type of Identification
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