HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED!
Date: Permit Numlber:
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RECEIVED
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Building Permit Application I',
MAR 0 9 2018
Permitting Department
Planning and Development Services I St. Lucie County
Building and Code Regulation Division I
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR:
Fence
P:ROPO$ED,IMPROVEMEj�T LO;CATION <
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'Address: 7702 Westmont Dr, Fort Pierce FL i I
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Legal Description: I"
(Property Tax ID#: 1301-603-0190-000-6 I Lot No.
site Plan Name: Block No.
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�Setbacks
Project Name:Front Back: Right Side: Left Side:
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DETAILED DESGRIPTION'OFd�W.ORK �
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51—
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Replace storm damaged fence Lei
I'ItC, 114 t C— q
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CONSTRUCTIO`NINFwORMATION .° K I P.
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Additionalworkto a e ormed under this permit_cneck all appy:
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❑HVAC Gas Tank Shutters �' Windows/Doors
— — ❑Gas Piping g —
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❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
:Total Sq. Ft of Construction: 1820 S . Ft. of First Floor: ;1820 I i
(Cost of Construction:$ 1,200 UtilitiesSewer❑Septic !Building Height:
O,U1/NER/LESSEEw _ YCOIVTRACTOR A
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IName Letitia B Rolle Name: Roderick Waller -
Address:7702 Westmont Dr Company: Sunrise City CHDO Inc.!
City: Fort Pierce State:FL Address: 3550 Okeechobeelkd 1
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34947 1 I.L Fax: 772-907-0420
E-Mail: Phone No. 772-201=2850 j
j Fill in fee simple Title Holder on next page(if different E-Mail: rodwallerl @gmail.coin
'from the Owner listed above) State or County Liceinse: C;CC1327208
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'if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SU,tPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION 3,
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: 1` Q Not Applicable
N a me:Letitia a Rolle Name:
Address:7702 Westmont or,Fort Pierce FL Address: 7702 Westmont pr
City: Fort Pierce State: City: i State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLE HOLDER: El Not Applicable BONDING COMPANY: ' ✓ Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: I
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do thelwork and installation as indicated.
,I certify that no work or installation has commenced prior to the issuance of a permit.
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St. Lucie County makes no representation that is granting a permit will authorize thepermit holderfto 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
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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:lroom 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 oran attorney before
commencing w rk or recording our Notice of Commencement.
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Sign ture of 0�RIDA
er/Lessee/Contractor as Agent for Owner Signature of ontractolr/License Holder
STATE OF FL STATE OF FLORIDA
COUNTY OF St Lucie County COUNTY OF St LucielCounty
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 8th day of March 20 18 by this 8th day of March' i,1 ;20 18 by
Roderick Waller Roderick Waller i I
1 Name of person making statement Name of person maki'n'g statement
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produ d
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(Signature f Notary Public-State of Florida) (Signature of Ilotary Public-State of Florida)
Commission ,ACV SO.PHIA H S sY°•''
1 �I, Commission No. = SOPHIA( �;RIS
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MY COMMISSION#FF997093 y, MY COMMISSION#FF997093
'%rt;,i,,• EXPIRES May 30,2020 EXPIRES PIRES May 30.
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j 2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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