HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L�
Date: Permit Number:
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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: Siding
"PROPOSED IMPeRQUEMENTLOCATIQN
Address: 6008 SEAGRAPE DR, Fort Pierce FL
Legal Description: INDIAN RIVER ESTATES-UNIT 08-BLK 66 LOT 10 (MAP 34/11S)
Property Tax ID#: 3402-609-0508-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Stucco
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OFWORK
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Stucco Exterior of House
COYCTON INFOMzrQAT
F.
Add ftional work toe n e -orme under this permit—check a apply:
HVAC E]Gas Tank Gas Piping _Shutters Windows Doors
❑Electric Plumbing Sprinklers ❑Generator E] Roof Roof pitch
Total Sq. Ft of Construction: 2,536 SFt. of First Floor: 2,536
Cost of Construction:$ 1,820.00 Utilities.
Sewer Septic Building Height: 8
OWNER/LESSEE r `' ' i ACTOR
CONTR
, . . w. r ,>.... ., a.
Name Treasure Stone Properties LLC Name: Roderick Waller
Address:7548 S US Highway 1 Ste 273 Company: Sunrise City CHDO Inc.
City: Port St. Lucie State:FL Address: 103 S Indian River Drive, suite 202
Zip Code: 32952 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: rodwaller1@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIEN FLAW INFORMATION;
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Q Not Applicable
Name: Name:
Address: Address:
City: State: FL City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Q Not Applicable BONDING COMPANY: allot 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.
�A J t,4 ) C�_o 0'_ .6��
Signa u f Ower ee/Contractor as Agent for Owner Signatur of Contracto License Holder
STATE OF FLO IDA STATE OF FLORIDA
COUNTY OF St Lucie County COUNTY OF St Lucie County
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1st day of April 2019 by this 1st day of April 20 19 by
Roderick Waller Roderick 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
Produ Produced
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(Signature f Notary Public-State of Florida) (Signature Lt
Notary Public Sfate of Florl
Comr'i
a pia(S I) Commission Sophia Harris (Sealo y .ommission GG 238873 SophiaHarnsExpires 05/30/2020
My Commission 2U 238873
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RE ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17