HomeMy WebLinkAboutBuilding Permit Applicationk.
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date:23/4/19 PermitNumber.
Building Permit Ap
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
MAR 01 20}9
Lucie Cnn.e,.
Residential X
PERMIT TYPE: ROOFING ^ Vn,," A\
PROPOSED IMPROVEMENT LOCATION: Zumu n
Address: 5205 PINETREE DRIVE, FORT PIERCE FL, 34982
Property Tax ID #: 3402-602-0147-000-3
Site Plan Name:
Project Name:
DETAILEDDESCRIPTION OF WORK:
REMOVE SHINGLE ROOF AND REPLACE WITH METAL
EEG t 577G/C Z5 ESQ
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 16000
Generator Roof 5112 Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ay-ktv�t1 %""
Name:EDWARD LECHNER
�Wpfyv
l � Address: SZQ& wTi:.`'f W- 'C>" ;
Company, EDIFICIUM CONSTRUCTION LLC
City: �--Cyfl—q State:
Zip Code: 3 Lkg Z Fax:
Phone No.
Address:1215 CASTAWAY BLVD
City: VERO BEACH State: FL
Zip Code: 32963 Fax:
Phone No 772 643-4513
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
E-MailEDIFICIUMROOFING@GMAIL.COM
State or County LicenseCCC1331308
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
14
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
Name:
Address:
Zip:
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 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 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
6
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Signature of Owner/ Less8enontractor as Agent for Owner
Signature of C actor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF a LeA eu
COUNTY OF�a /.4 j Q I (m_4
The fo oing instrument was acknowledged before me
this7dayof 1 20 by
The forgoing instrument was acknowledged before me
this-j--dayof m eelki 20J2by
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Name of person making statLlrinent.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identificatio
Produced El, n L
Produced
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(Signature of NotaryPublic- Stat
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ELLEN VAU
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Commission No.
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FRONT
ZONING
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MANGROVE
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Rev.2/7/19