HomeMy WebLinkAboutBuilding Permit Application S
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 10/24/2018 Permit Number:
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: Shed DCA
PROPOSED INIPrhROVEMEN, LQ:CATIONxn,
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Address: 160 SE Celestia Court Port Saint Lucie FL 34986
Legal Description: RIVER PARK- UNIT 5 BLK 46 LOTS 6 (MAP 34 /28N)
Property Tax ID#: 3419-540-0110-000-8 Lot No. 6
Site Plan Name: Block No. 46
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DE CRI %ION OF WORK . �
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Demo Shed in Back Yard.. )DA J
CONSTRUCTION INFORMAATION
Additional work to
❑ e—e orme under this permit–check a t _appy:
HVAC be
Tank []Gas Piping Shutte
rs []Windows/Doors
Electric 0 Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 700.00 Utilities: Sewer[]Septic Building Height:
Name McNair Empire LLC. Name: Roderick J Waller
Address: 5259 N. W South Lovett Cir. Company: Sunrise City C. H. D. O, Inc.
City: Port Saint Lucie State: Ft Address: 130 S. Indian River Dr.#202
Zip Code: 34986 Fax: City: Fort Pierce State, FL
Phone No. Zip Code: 34950 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@gmaii.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.
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,SUPPLEMENTAL CONST kCk vION LIEI LVA- IIS ORMATIO
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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: 130 S.Indian River Dr.#202 Address:
City: City:
Zip: Phone: 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recprding Vour Notice of Commencement.
".,� d W ojjs--- W A (, )&IL
Signature of Owner/Lessee�Contractor as Agent for Owner Signature o Contract / icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY,OF ST.Lucie county COUNTY OF ST.Lucie
The forgoing instrument was acknowledg efore me The forgoing instrument was acknowledge efore me
this 24th day of October 20by this 24th day of October 20 by
Roderick J Waller Roderick J Waller
Name of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of ofVM`11 VOW— Neo ori F (Signature of otary Public-State of Florida )
err Notety Pubhe
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Commission No. .4ortiR 236673 Commission No.
Expires 05x30/2020 ry PubHc Florida
Renis
or Cornm'iseion GG 238873
On
REVIEWS; FRONT ZONING SUPERVISOR PLANS VEGETATION SEAQ ATURT E VAOMAE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED'
DATE
COMPLETED
Rev.8/2/17