HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-17-2021 Permit Number:
L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
! PERMIT APPLICATION FOR: JOEY JASMER RE -ROOF SHINGLE TO SHINGLE
PROPOSED IMPROVEMENT LOCATION:
Address: 8006 BANYAN STREET FORD -PIERCE, FLORIDA 34951
Property Tax ID #: 1301-603-0088-000-8 Lot No.1
Site Plan Name: LAKEWOOD PARK -UNIT 3- BLK 20 LOT1 (MAP 13/14N) (OR 3418-2924) Block No. 20
Project Name: JOEY AND VICKIE JASMER
DETAILED DESCRIPTION OF WORK:
REMOVED OILD SHINGLES, RENAIL THE PLYWOOD, APPLY PEEL AND STICK TO THE PLYWOOD
THEN INSTAL NEW SHINGLES
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. Ft of Construction: 2524
Cost of Construction: $ 14,491
_ Gas Piping _ Shutters _ Windows/Doors _ Pond
— Sprinklers _ Generator (,abh� Roof 5112 Pitch
Sq. Ft. of First Floor: 2524
Utilities: _Sewer Septic Building Height:15,
OWNER/LESSEE:
CONTRACTOR:
Name JOEY AND VICKIE JASMER
Name: EDWARD LECHNER
Address:8006 BANYAN ST
Company:EDIFICIUM CONSTRUCTION LLC
City: FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.7872-924-5555
Address:1215 CASTAWAY BLVD
City: VERO BEACH State: FL
Zip Code: 32963 Fax:
Phone N0772-643-4513
E-Mail:VICKIEWOOD8@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailEDIFICIUMROOFING@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:
Name:_
Address:
City: ,
Zip: __
EER: _Not Appl'Icabfe
Phone
State
FEE SIMPLE TITLE HOLDER. Not Applicable
Name:
Address:
City;
Zip:� Phone:
MORTGAGE COMPANY.
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
—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 molder 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 1 will, in all respr:.cts, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit appfications 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 attorne before commencing work or recording our Notice of Commencement.
Signature of owner/ Lessee a actor as Agent for owner
STATE OF FLORIDA
COUNTY OF .� ` '.
Sworn o (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
this day of -e—C_ 2021 by
Name of person making statement.
Personally Known OR Produced Identification
Type of lde n
Prodtc rI
(Signat�of Notary Public- State of
FIVnd�je
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REVIEWS COUNTER —Ty1 g6^.4J SREVIEW UPERVISOR
RECEIVED
DATE
Signature
STATE O1
COUN OF
nse Holder
--etr'
sworn (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
this *`yJay of L2 2021 by
- -��vcQ L r r it
Name of person making statement.
Personally Known Oil Produced Identification
Type of Identification
Produce
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