HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/14/2019 Permit Number:
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Building Permit Applicati , Lucie County, Permitting
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
PERMITVPE: Demolition - ` �IkeYl O�
PROPOSED IMPROVEMENT LOCATION �^
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Address: 5221 Winter Garden Pkwy Fort Pierce FL 34946
Property Tax ID#: 1301-615-0042-000-1 Lot No.21 A/22A
Site Plan Name: Block No. 168
Project Name:
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DETAILED DESCRIPTION OFWORK t
Remove un-permitted interior wall in living room and remove exterior door on patio (RETURN TO ORIGINAL STATE)
CONSTRQCTI.QN�INE:ORMATION ' ` ' � '
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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: 2,355
Cost of Construction:$ 670.00 Utilities: —Sewer —Septic Building Height. 12
OVIINER�LESSEE '
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Name GREIT, LLC Name: Roderick Waller
Address:P. O. BOX 13175 Company: Sunrise City C. H. D. O. Inc.
City: FORT PIERCE State:_ Address: 130 S. Indian River Dr. #202
Zip Code: 34979 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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SIPPLEMENTAL CONSTRo
UCTION LIEN:SAW INFORMATION 'F k > 1
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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: 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 thepermit 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 of Owner/Less'
a/Contractor as Agent for Owner Signature of Contra ctor/Licen a 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 14sHday of NOVEMBER 201q by this 14tH day of NOVEMBER 201-9 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
Produced Produced
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Commission No. Sea '� +. Commission No. e w
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DATE
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