HomeMy WebLinkAboutBuilding Permit ApplicationFr- ' All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
IIDate: 2/2&20fo Permit Number:
Building Permit Appli
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 XX
PERMIT TYPE: stucco
Address: 5002 SANIBEL AVE, FORT PIERCE FL
Property Tax ID #: 1301-615-0154-000-9
Site Plan Name: STUCCO
Project Name:
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c tion FEB 2 7 2020
Permitting Department
St. Lucie County, FL
Res- en la
AFTER THE FACT STUCCO ENTIRE HOUSE (Main structure is CBS anti nahlP Pnris nrP wnnril
Lot No.
Block No.
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: 1884
Cost of Construction: $ 1800.00
Sq. Ft. of First Floor: 1884
Utilities: _Sewer _Septic Building Height:
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CONTACTOR
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Name Angel Morris
Name: RODERICK WALLER
Address: 3720 Tanager PL
Company: SUNRISE CITY CHDO, INC.
Address: 130 S. INDIAN RIVER DR. #202
City: Fort Pierce State: FL
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.
Zip Code: 34950 Fax: 772-907-0420
E-Mail:
Phone No 772-201-2850
E-Mail RODWALLER1 @GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
State or County License CGC1515114
from the Owner listed above)
it value of construction is 52500 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.
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:
City:
Address:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner
STATE OF FLORIDA
COUNTY OF ST. LUCIE
ctor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST. JUCIE
The forgoing instrument was acknowledged before me
this 26th day of FEBRUARY , Zp 20 by
RODERICK WALLER
Name of person making statement.
Personally Known XX OR Produced Identification
Type of Identification
Produced
The forgoing instrument was acknowledged before me
this 26th day of FEBRUARY , 20 20 by
RODERICK WALLER
Name of person making statement.
Personally Known XX OR Produced Identification
Type of Identification
Produced
i
(Signature of Notary Pub[P40
r (Signature of Notary Pub ' Hof fN d�,yblic State or Florida
°w Note Public State of Florida Sophia Harris
Commission No. S la arils g My Co i i n GG 238973
9�ry
MoyC t/ission GG 238873 Commission No. Expire1�A 2020
$ate Expires 05/3012020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19