HomeMy WebLinkAboutRE-ROOF PERMIT APP 7204 ROBERTS RD - COURSONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 318/22 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: RE -ROOF: SHINGLE TO SHINGLE MAIN ROOF AND APPLY POLYGLASS TO LOW SLOPE SECTION
PROPOSED IMPROVEMENT LOCATION:
Address: 7204 ROBERTS RD
Property Tax I D #: 1301-614-0154-000-6
Site Plan Name:
Project Name: LAKEWOOD PARK UNIT 12
Lot No.2
Block No. 163
DETAILED DESCRIPTION OF WORK:
REMOVE OLD SHINGLES ON MAIN ROOF AREA, NAIL DECK TO CODE, APPLY UNDERLAYMENT, INSTALL NEW SHINGLES.
POLYGLASS SBA/SA SELF ADHERING PEEL & STICK WILL BE APPLIED TO LOW SLOPE SECTION OF ROOF.
New Electrical Meter Second Electrical Meter
I 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
Total Sq. Ft of Construction: 2,100
Cost of Construction: $ 13,280
Sprinklers
Generator , Roof 6/12 - 1/12 Pitch
Sq. Ft. of First Floor: 2,100
Utilities: —Sewer —Septic Building Height: 15,
OWNER/LESSEE:
CONTRACTOR:
Name BROOKE DIANE COURSON
Name:EDWARD LECHNER
Address:7204 ROBERTS RD
Company:EDIFICIUM CONSTRUCTION, LLC
City: FT PIERCE State:
Zip Code: 34951 Fax:
Phone No. 863-610-2436
Address:1215 CASTAWAY BLVD
City: VERO BEACH State: FL
Zip Code: 32963 Fax:
Phone No772-643-4513
E-Mail: EDIFICIUMROOFING@GMAIL.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 License FL-CCC1331308
VO UC V LU1,M1q.1u1.UU1i IN c3uU or more, a KLLUKUtU ivotice oT LOmmencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEIMIENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
owpi rnNITOA!"rno ACrin%fr-r.
_ ... __..' -- , .-I I , „U v, r . lApprzcavon Is nerelay 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 roams 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 commencingwork or recording our Notice of Commencement.
Signature of Contractor - or �nerilder as applicable
STATE OF FLORIDA
COUNTY OFI. a C'V" - 'V %• % C V
Sworn to (or affirmed) and subscribed before me of ✓ Physical Presence or online Notarization
thisl}'" day of mar �(,� . 20�hy
7C_JQwca v-aQ Le wee v—
Name of person making statement.
Personally Known t/stOR Produced Identification
Type of Idenjfication Produced
(S
of Notary Public- State of Florida)
Commission No. (Seal) E'J"J
v Pryg Notary Public State of Florida
David E Nlixon
My Commission HH 097358
Expires 0212,4r2W5
REVIEWS FRONT I ZONING
COUNTER f REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISOR PLANS � VEGETATION SEA TURTLE I MANGROVE
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