HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y ��
Date: 11/15/2017 Permit Number:
0
I � -
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
PROP,OSED'IIVI'PROVEIVIENT LOCATION, ' u
Address: 2821 IROQUOIS AVE, Fort Pierce, FL 34946
Legal Description: SAN LUCIE PLAZA S/D-UNIT ONE-BLK 56 LOT 9 AND S 1/2 OF LOT 10(MAP 14/28S)(OR 3151-1458)
Property Tax ID#: 1428-702-1220-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Remodel
Setbacks Front Back: Right Side: Left Side:
DETAILED DES"CRIPTION 6F`11VORK:
Remove and Replace Shingles C ��
CONSTRUCTION I.NFORMAT_ION.
rtiona wor to e e orme under this permit–check a appy:
HVAC E] Gas Tank []Gas Piping _Shutters l]Windows/Doors
Electric 0 Plumbing Sprinklers I Generator W1 Roof
Total Sq. Ft of Construction: 1824 'SFt. of First Floor: 1527
Cost of Construction:$ 6,800.00 Utilities. —Sewer E:]Septic Building Height:
01NNER/LESSE CONTRACTOR: .
Name Denzel Irving In\Cf�� Name: Roderick Waller
Address:2302 Juanita Ave Company: Sunrise City CHDO, Inc.
City: Fort Pierce State:FL Address: 3550 Okeechobee Rd
Zip Code: 34946 Fax: City: Fort Pierce State:FL
Phone No.772-332-0907 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.
T
.� .1'
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION ;r
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 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 thepermit 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
1/-3dL U-J s
_
Sign atu e o Owner/Lessee/ gent Signatu e of Co ractor/License Holder
STATE OF FLORIDA STATE OF FL RIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of 20 _by this day of 20 by
1
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS