HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-14-2022
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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 SHINGLES TO METAL
PROPOSED IMPROVEMENT LOCATION:
Address: 84 Pinewood LnFort Pierce, FL 34947
Property Tax ID #: 2407-801-0026-000-2
Lot No. 11
Site Plan Name: SANDALWOOD ESTATES S/D BILK B LOT11 (0.38 AC)
Project Name: PIERRE LAVIOLETTE Block No. B
DETAILED DESCRIPTION OF WORK:
REMOVE SHINGLES, RE -NAIL PLYWOOD TO CODE, INSTALL PEEL AND STICK UNDERLAYMENT
AND THEN INSTALL THE 5V METAL
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: 2371
Cost of Construction: $ 26,500
OWNER/LESSEE:
Name PIERRE LAVIOLETTE
_ Generator l}IRoof 4/12 Pitch
Sq. Ft. of First Floor: 2371
Utilities: — Sewer _ Septic Building Height: 15'
Address:84 PINEWOOD LANE
City: FORT PIERCE State:
Zip Code: 34947 Fax:
Phone No. 772-971-5051
E-Mail: EDIFiCIUMROOFING@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: EDWARD LECHNER
Company: EDIFICIUM CONSTRUCTION LLC
Address:1215 CASTAWAY BLD
City: VERO BEACH FL
State:
Zip Code: 32963 Fax:
Phone No772-643-4513
E-Mail EDIFICIUMROOFING@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:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phan
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State
Not Applicable
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 holder to build the subject structure
which conflicts with any 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 jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneybefore commencin work or recording our Notice of Commencement.
Signature of Contractor or - ner Builder as applicable
STATE OF FLORIDA
COUNTY OF_ Qz � „�� V
Sworn to (or affirmed)-ardsubscribed before me of
Physical Presence or Online Notarization
this fy*`` day of L---q 20_�by
Name of person making statement.
Personally Known t/ OR Produced Identification
Type of Iden " ' tion Produced
(Si
re of Notary Public- State of Florida)
Commission No. (Seal). Notary Public state ofFlorida
David E Mixon
■ My Commission HH 007350
Expires 02124=5
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DATE
RECEIVED
DATE
COMPLETED