HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/13/2017 Permit Number: _�� a— G3�0
Building Permit ApplicaitI6WEC 14 2011
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 -
PROPOSED IMPROVEMENT LOCATION:
Address: 2205 N 45th St Fort Pierce, FL 34946
Legal Description: HARMONY HEIGHTS ADDN BLK N LOTS 23,24 AND S 1/2 LOTS 1 AND 2
Property Tax ID#: 1431-701-0264-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Re-Roof
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
Tear of old shingles and install new shingles
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit—check a apply:
HVAC E] Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator 10 Roof
Total Sq. Ft of Construction: 3590 Sq. Ft. of First Floor: 3590
Cost of Construction: $ 9,500.00 Utilities: Sewer []Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Willis L McPhee Name: Roderick Waller
Address:2205 N 45th St 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.772-359-7503 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: rodwallerl@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.
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 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.
4" 4 t'-�) 0'u� W �/ A )JL,
s
_Signature of Owner/1ssee/Agent Signature of Contra to /L cense Holder
STATE OF FLORIDA STATE OF FLORIp QQ
COUNTY OF 5 U c COUNTY OF S �r •
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this \"\ day of FokC 201L-by this day of 0 'ILC. 20 T by
�b d sz�w' i c k \.\-" .0;' C (L o X 9- C ,C 1L VJ o, \
(Name of person acknowledging ) (Name of person acknowledging)
(Signature of Notary Publi State of Florida ) (Signature of Notar ublic-State of Florida )
Personally Known OR Pro ced Identificat* Personally Known Q ,A a IdentiA+catid,
Type of Identification Produced �' `����� Type of Identifi,,900�( d'ucecb � �- Lam,
NpM #GCS \ a ...... ; Y1,C,OM
S� \SS\ON �6?B`J fl,,` _ ES:! n rNrda+a
Commission No. Moe �nJen+�� + ommission No WCONt"Fe
.... p�f��s'N 12rD VbAr "''':3:,`•°P; Bon Nom.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS