HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential ####
PERMIT APPLICATION FOR: RE -ROOF SHINGLE TO SHINGLE
PROPOSED IMPROVEMENT LOCATION:
Address: 7808 horned Lark CirPort Saint Lucie, FL 34952
Property Tax 1D #: 3424-702-0082-000-4 Lot No. 15
Site Plan Name: EAGLE'S RETREAT AT SAVANNA CLUB PHASE 2 (PB 43-21) BLK 60 LOT 15 Block No. 60
Project Name: RICHARD PSZANKA
DETAILED DESCRIPTION OF WORK:
REMOVE OLD SHINGLES, RENAIL PLYWOOD, APPY 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 Cite Roof 3112 Pitch
Total Sq, Ft of Construction: 2764
Sq. Ft. of First Floor: 2764
Cost of Construction. $ 13,800 Utilities: _ Sewer _ Septic Building Height: 15,
OWNER/LESSEE:
CONTRACTOR:
Name RICHARD PSZANKA
Name:EDWARD LECHNER
Address:7808 HORNED LARK CIRCLE
Company: EDIFICIUM CONSTRUCTION LLC
City; PORT ST. LUCIE State: EL
Address:1215 CASTAWAY BLVD
Zip Code: 34952 Fax:
City: VERO BEACH State: FL
Phone No.307-262-2144
Zip Code: 32963 Fax:
Phone No772-643-4513
E-Mail: LANISPSZANKA@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
E-Mail EDIFICIUMROOFING@GMAIL.COM
from the Owner listed above)
State or County LicenseCCC13231308
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;
DESIGNJeR%ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY, Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name!
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Appiication 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 Home Owners Association rules, bylaws or and covenants that may restrict or pro
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply hibit such
In consideration of the granting of this requested permit, I do hereby agree that 1 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 accessary uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice Of Carnmencernent 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 fender oran attorney before commencing work or recordin your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractar/L' e Ho#der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Swor o {or affirmed} and subscribed before me of
Physical Presence or online Notarization V Physical Presence or online Notarization
this day of 2020 by this 1nay of 20431�by
Name of person making statement.
Personally Known OR Produced ldentificat€on
Type o"
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lNgnat re of Notar Public- State of F1 rl
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DATE
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DATE
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Name of person making statement.
Personally Known OR Produced ldentification
Type of Identification
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02/2412025
SUPERVISOR PLANS VEGETATION SEATURTLE
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