HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/31/2019 Permit Number:
Fion
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• 12019
Building Permit ApplicaPlanning and Development Services nEyf PY!"tfll[1I119
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE: Stucco
PROPOSED IRIFROVEMENT:ALO:CfATION nJ„
Address: 8602 Lakeland BLVD Fort Pierce FL 34951
Property Tax ID#: 1301-610-0060-000-8 Lot No. 20
Site Plan Name: Block No. 4
Project Name:
DE7AILE® DESCRIPTION OF WORK
Stucco exterior of the building
�CQNSTRUCTIQNINFORMATION ,
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor: 1,850
Cost of Construction:$ $2,000.00 Utilities: —Sewer —Septic Building Height: 12
OWNER%LESSEE CONTRACTOR
3 tt'x ,a r w, .. '., , .r.;"•_ ,s +.i'-�ra g a 5*<., Ya.,. . ,�Y* x r .. ems, o,..x <. ".. :. d:.:x.
Name Quest Regal Investments LLC Name: Roderick Waller
Address: 10299 Southern Blvd, Unit 21282 Company: Sunrise City C. H. D. O. Inc.
City: Royal Palm Beach State:_ Address:'130 S. Indian River Dr.#202
Zip Code: 33421 Fax: City: Fort Pierce State: FL
Phone No. Zip Code: 34950 Fax: 7729070420
E-Mail: Phone No 772-201-2850
Fill in fee simple Title Holder on next page(if different E-Mail Rodwallerl@gmall.com
from the Owner listed above) State or County License CGC1515114
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SU PPLEIVIENTA'L CONSTRUCTION LIEN LAW 1NFORMATION q
„ .� _,
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:
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.
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Signature o Owner/Lessee ontractor as Agent for wner Signature o Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St,Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 31st day of January 20A by this 31st day of January 20LE by
Roderick Waller Roderick Waller
Name of person making statement. Name of person making statement.
Personally Known X OR i nally Known X O c
Type of Identification �W No Notary Pubiic SAF yp f Identification �p'�'�'`- Notary Public State of Florida
Produced Sophia Hams ro cad Sophia Hams
My Commission GG 2388 3P Commission GG 238873
Expires 05!30/2020 a Expires 05r o/2o20
(Signature of gotary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.9/215/18