HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Lzl ( .
`�Date: /' Permit Num �"
7-1 RECEIVED
0 W.600
Building Permit ApplicatioNOV 2 9 2018
Planning and DevelopmentServices tin DeBuilding and Code Regulation Division 9 partment
2300 Virginia Avenue,Fort Pierce FL 34982 cie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION P CATION FOR: To Select from drop box click arrow at the end of line
P.ROPOSEDw°IWROVEMENT-LQCATION F "
6302 MARGARET WAY FT. PIERCE F
:
Address: L 34974
Legal Description: LAKEWOOD PARK- UNIT 6 BLK 64 LOT1
Property Tax ID#: 1301 -606-0135 -000-2 Lot No. 1
Site Plan Name: Block No. 64
Project Name:
Setbacks Front Back: Right Side: Left Side:
-DETAILED DESCRIPTION "OF'WORK f
REMOVE AND REPLACE 16 SINGLE HUNG WINDOWS FL 19715
CONSTRUCTION]NFORMATLON
t
Additional work to be nnertormed under this permit—check all appll
HVAC Gas TankGas Piping Shutters ✓1 Windows/Doors
ElElectric ❑ Plumbing Sprinklers E Generator E] Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ gs�• Utilities:�Sewer Septic Building Height:
OWNER/LESSEE "CONTRACTOR
Name EQUITY TRUST COMPANY ET AL Name: RODERICK J-WALLER
Address: 1440 N. LAWNWOOD CIR APT#18A Company: SUNRISE CITY C. H. D. O. INC.
City: FORT PIERCE State: FL Address: 130 S INDIAN RIVER DR. #202
Zip Code: 34947 Fax: City: FT. 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: RODWALLER1 @GMAIL.COM
from the Owner listed above) State or County License: CCC1515114
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU PPLEMENTAL,CONSTRUCTION LIENrLAW 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: 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 recording our Notice of Commencement.
— W;l h')0JL &daj W
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Signature of Owner/Les ee/Contractor as Agent for Owner Signature of Contr ctor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF_ C'r Loc_-(C_ COUNTY OF L.0Cf'Q
The forgoing instrument wa acknowledged before me The forgoing instrument was acknowledged before me
this day of V2 20 by this Zday of_.,r(/�N2cnh� 20jY by
Name of person making statement Name of person making statement
Personally Known_ L OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produ
l
(Signature dY Notary Public-State of Florida) (Si nature of No ary Public-State of Florida)
Commission No. 4, Notary Public 4&M#Fbridr. Commission
2F4 It Sophia Harris blic state tir FWfitle
MY C ommisaion GG 238873 y� S0P is HC.mmiarris
«� Expires 0513012020 A; 'laR Expires 05/30/2020 n GG Commission GG 238873
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE M GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17