HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -I
Date: 2/4/2017 Permit Number:
RECEIVED AUG 15 2017
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 X
PERMIT APPLICATION FOR: Roof
PRQ,POSED IMLPtROUEMENTLOCATION
Address: 7908 HAMILTON AVE, Fort Pierce FL 34946
Legal Description: LAKEWOOD PARK-UNIT 5-BLK 47 LOT5 (MAP 13/11 N)(OR 3925-1170)
Property Tax ID#: 1301-605-0183-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ca '' ,+ ��
DETAILED DESCRx13PTION�`OF WORK
4 v y 3
Re-Roof- Tear of and replace shingles
:.
CONSTRUCTIO,N�INFORM°ATION A a
AdditionalvV
work toe e orme under t is permit-c ec a appy:
HVAC Ei Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator W1'Roof
Total Sq. Ft of Construction: 1760 S Ft. of First Floor: 1760
Cost of Construction:$ 5600 Utilities: Sewer[]Septic Building Height:
OWNER/LESSEE ` f CONTRACTOR
Name Martin County Properties LLC Name: Roderick Waller
Address:10806 SW Meeting ST Company: Sunrise City CHDO, Inc.
City: Port St, Lucie State:FL Address: 3550 Okeechobee Rd
Zip Code: 34987 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34947 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850
Fill in fee simple Title Holder on next page(if different E-Mail: rodwaller1 @gmail.com
from the Owner listed above) State or County License: CCC1327208
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU'PPLEMENTAL�CONSTRUCTIO:N LIEN LAW INFORMATION " =
DESIGNER/ENGINEER:s _Not Applicable MORTGAGE COMPANY: * _NotApplicable
x
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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,1 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinR work or recordinR vour Notice of Commencement.
6 1, 4 1% L
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_Signature of Owner/Le 'ee/Agent Signatur of Con ractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA ,
COUNTY OF S � . t.yc'N'i COUNTY OF .15,V- We"tom
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this%S day of_Qy4, 20 Mby this M day of GIAk 20"U—by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- tate of Florida) (Signature of NotaN Public-State of Florida)
Personally Known OR Produced Identification Personally; OR Produced Identification
Type of IdentificatioType of IcI611 iP n r GIVENS
PAY CO4SION#GG 02207.3 � � � Y I SION#GG IN
Commission No. _ Commissi
EXP ecember 16,2020 ecember
".....•a= Notary °•:of;�.•'� Bonded Thru Notary
pF Flo.•' Banded Tlmi Nota Public Undenvrter;�f Public Underwriters
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS