HomeMy WebLinkAboutBUILDING PERMIT APP FOR OCONEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: 6615 GAVIOTA FORT PIERCE, FLORIDA 34951
Property Tax ID #: 1306-500-0023-000-4 Lot No. 8
Site Plan Name: SPANISH LAKES FAIRWAYS BLK 38 LOT 8 (OR1280-2605) Block No. 38
Project Name: JO-ANNE OCONE
DETAILED DESCRIPTION OF WORK:
REMOVE OLD SHINGLES, RE -NAIL PLYWOOD, APPLY PEEL AND STICK UNDERLAYMENT
THEN INSTALL 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 V Roof 5112 Pitch
Total Sq. Ft of Construction: 2440
Sq, Ft. of First Floor: 2440
Cost of Construction: $ 14,000 Utilities: —Sewer _ Septic Building Height: 15'
OWNER/LESSEE:
CONTRACTOR:
NamedO-ANNE OCONE
Name: EDWARD LECHNER
Address:6615 GAVIOTA
Company:EDIFICIUM CONSTRUCTION LLC
City: FORT PIERCE State:
Address:1215 CASTAWAY DLVD
Zip Code: 34951 Fax:
VERO BEACH
City: State: FL
Phone No,230-800-5110
Zip Code: 32963 Fax:
E-Mail: NONE
Phone N0772-643-4513
Fill in fee simple Title Holder on next page ( if different
E-MailEDIFICIUMROOFING@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 C6NSTRUCT1_0N LIEN
DESIGNER/ENGINEER.-
Name:
Address:
City:
Zip: phon
FEE SIMPLE TITLE -HOLDER,
Name:
Address:
City:
ZIP: Phone,
LAW INFOR MATI0N:
Not Applicable;M
ORTGAGE COMPANY,
: Not Applicable
State:
state:
Zip:Phone
Not Applicable BONDING COMPANY-
Name:
Rddress:
City:
Zip: Rhone•
____.Nat Applicable
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 Horne Owners Association rules, bylaws or and covenants that may restrict or
structure_ Please consult with your Home Owners Association and review your deed for any restrictions which may a 1
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the workprohibit such
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. y pp y
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, waifs, 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 a to twice for
improvements to your property. A Notice of Commencement must be recorded paying
records of S
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing,consult
with lender or an attorne before cornmencin work or recordin our Notice of Commencement. t.
Signature of Owner/ Lessee/ ractor as Agent for Owner
Signature of Contr t icense Holder
STATE OF FLORIDA
COUNTY OF STATE OF FLORID
��,'. ~, 'ram,• COUNTY OI"
�Swar to (or affirmed) and subscribed before me of
hvsical Presence or Online Notarization
th is _Z— day of a
V __. 202f by
Name of person making statement.
Personally Known _�^ OR Produced Identification
Type of id e - - n
Produce
(Signat re of Notar Public- State of Florida )
Commi 1 �G ?E)t7nr f )r fil
and
REVIEWS FRONT �`1fVG
COUNTER REVIEW
)ATE COUNTER
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)ATE —•
'CoMPLETED
Swar (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of
202f by
Name of person -Making e'-
Personally Known OR produced fdentification
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Produce
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