HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i a SCANNED Permit Number:
BY RECEIVED
e St. Lucie County
---- _ _ - Building Permit Applicati n APR 1 2019
Planning and Development Services ST. Lucie Co_u_nty, Permitting
—Building and Code Regulation Division — - —
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:ROOF - gl4- �- T\��
PROPOSED IMPROVEMENT LOCATION:
Address: 8004 BANYAN STREET FORT PIERCE
Property Tax ID #: 1301-603-0089-000-5
Site Plan Name: LAKEWOOD PARK UNIT 3
Project Name: KERN
DETAILED DESCRIPTION OF WORK:
RE ROOF SHINGLES TO SHINGLES Sp R i s
F?i4-9- InW i= 7-/id - -SC- fif"7
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 194 0 d S c i+.
Shutters
_ Generator
Sq. Ft. of First Floor:
Cost of Construction: $ 7880 Utilities: —Sewer _Septic
Lot No.2
Block No. 20
Windows/Doors
Roof 4:12 Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:'
NameDIANE KERN
Name:EDWARD LECHNER
Address:8004 BANYAN STREET
Company:EDIFICIUM CONSTRUCTION LLC
City: CITY OF FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.
Address-1215 CASTAWAY BLVD
City: VERO BEACH State: FL
Zip Code: 32963 Fax:
Phone N0772 643-4513
E-Mail:
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 HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
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 IN D TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDE R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ LeFIContractor as Agent for Owner
Signature of Contra r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF-T/iQJe/'
COUNTY OF 7RI.Dlp/V /121ye
The forgoing instr ment 4vas acknowledged before me
this !o_L day of A AA,11, 20 jq by
The forgoing instruent was acknowledged before me
r�
this day of LV t ( 2041 by
t1117d.r17
Name of person making statement.
Name of person making statement.
Personally Known V/ OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
r A' L • /Yi f�v2s�
(Signature of NotWy Public- State of ida )
(Signature of Nbtary Public -State
KIMBERLY E. MASSl1'V:�:''%y
., KI�gERLY E. MASSUNG
g;S�Mission#FF214584
Commission No. mz CFg@ 4sion4FF21,IZ84
Commission No. g`
_ _ = Expires July 15, 29'i3
- =Expires July 15, 2019
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Rev.2///19