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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12-1-2021 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential XXxx 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-15S3 Fax: (772) 462-1578 PERMIT APPLICATION FOR: RE -ROOF SHINGLE TO SHINGLE PROPOSED IMPROVEMENT LOCATION:6011 LANTANA DR Address: 6011 Lantana DR Fort Pierce, FL 34951 Property Tax ID #: 1301-612-0394-000-4 Lot No. 10 Site Plan Name: LAKEWOOD PARK -UNIT 10- BLK 134-ALOT 10 (MAP 13/01S) Block No 134 Project Name: MONTINE MANIFREDI DETAILED DESCRIPTION OF WORK: REMOVE OLD SHINGLES, RENAIL PLYWOOD, APPLY NEW PEEL AND STICK UNDERLAYMENT AND 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 Wank Gas Piping _ Shutters _W. indows/Doors Pond �1 Electric _ Plumbing _Sprinklers _ Generator ``%?Roof 2/12 Pitch Total Sq. Ft of Construction: 2131 Sq. Ft, of First Floor: 2131 Cost of Construction: $ 11,400 Utilities: —Sewer — Septic Building Height: 15' OWNER/LESSEE: CONTRACTOR: Name MONTINE MANIFREDI Name:EDWARD LECHNER Addre5s:6011 LANTANA DRIVE Company: EDIFICIUM CONSTRUCTION LLC City: FORT PIERCE State: Address:1215 CASTAWAY BLVD Zip Code: 34961 Fax: City: VERO BEACH State: FL Phone No. 772-342-1642 Zip Code: 32963 Fax: E-Mail:E:DIFICIUMROOFING@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 LION LA (INFORMATION, DESIGNER/ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Narne:_ Address: City: Zip: Phone: — Not Applicable MORTGAGE COMPANY- Not Applicable Name: Address: City: state: Zip: _ Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not 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 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 fuil 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 saying 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 commencinE work or recordin our Notice of Commencement. Signature of owner/ Lesse iontractor as Agent for Owner STATE CIF FLORIDA COUNTY OF �.�oQ�` , u Gy Sw�to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this j,srday of , 242j by Name of person making statement. Personally Known_ Z OR Produced Identification Type of Ide 'ton Producee _ (Signor re of Notar Public- State of FI rich ) Signature of Coutr tar/L' nse:Holder STATE OF FLORICOUNTY OF � � Swore o (or affirmed) and subscribed before me of V Physical Presence or Online Notarization this �,o day of �• c.._ . 2029 by Name of person making statement. Personally Known %""/ OR Produced Identification Type of Identification Produce Commi 1 )rlond�i$ea ' „ Comm 'TAYn+ ly ExrsC��m rise,:, ;:35n REVIEWS FRONT �t�`N�iI�G"u SUPERVISOR PLANS COUNTER REVIEW REVIEW REVIEW 6A7E RECEWED DATE COMPLETE© eV, ' aL Notary Public State of Florida David E Mixon 4� OY ommission HH 0Q7358 arsL� Expires 0212412025 VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW I REVIEW