HomeMy WebLinkAboutBUILDING PERMIT APP FOR ORIAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-14-2022 Permit Number:
o
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:RE-ROOF SHINGLES TO SHINGLES
PROPOSED IMPROVEMENT LOCATION:
Address: 8523 Marlberry CtPort St Lucie, FL 34952
Property Tax ID #: 3425-703-0106-000-5 Lot No.22
Site Plan Name: SAVANNA CLUB PLAT THREE BLK 23 LOT 22 (OR 1304-170) Block No. 23
Project Name: PETER OR[
DETAILED DESCRIPTION OF WORK:
REMOVE OLD SHINGLES, RE -NAIL PLYWOOD TO CODE, APPLY PEEL AND STICK,
APPLY 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
Total Sq. Ft of Construction: 1394
Cost of Construction: $ 7,400
_Generator �� Roof 2/12
Sq. Ft. of First Floor: 1394
Pitch
Utilities: —Sewer —Septic Building Height: 15,
OWN ER/LESSEE:
CONTRACTOR:
Name PETER ORI
Name:EDWARD LECHNER
Address:8523 MALBERRY CT
Company:EDIFICIUM CONSTRUCTION LLC
City: PORT ST LUCIE State:
Zip Code: 34952 Fax:
Phone No. 772-323-5963
Address:1215 CASTAWAY BLVD
City: VERO BEACH State: FL
Zip Code: 32963 Fax:
Phone No772-643-4513
E-Mail:KPORI@AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail EDIFICIUMROOFING@GMAIL.COM
State or County LicenseCCC1331308
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 LAIN 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
Narne:
Address:
Address:
City:
City:
Zip: Phone:
Zip: __ Phone:
UMVE s/ CONTRACTOR RAi l OR 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 conflicts with an applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 job -site before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Contractor - or - ner Builder as applicable
STATE OF FLORIDA
COUNTY OF` .
Sworn to (or affirmed) and subscribed before me of ►O Physical Presence or Online Notarization
this 14 "K day of rV 20_2by
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification Produced
(S
re of Notary Public- State of Florida)
Commission No. (Seal)
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COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
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David E Mixon
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