HomeMy WebLinkAboutBuilding Permit Application r
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(� �
(Date: 3/18/2020 Permit Number: Mn' (OL15
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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 xx
PERMIT TYPE: Renovation
{PROPOStD'IMPROVEM(NT LOCATION
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I ddress: 5005 Fort Pierce Blvd, FORT PIERCE FL
IropertyTax ID#: 1301-603-0046-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
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DETAILED DESCRIPTION OF WORK rSrvzr , 4
Tiling and interior/exterior painting and replacing kitchen cabinets in same location
and replacing bathroom vanity and toilet in same locaton
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CONSTRUCTION INFORMATION'; R. 4
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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: 1118 Sq. Ft. of First Floor: 1347
ost of Construction: $ 6500.00 Utilities: _Sewer _Septic Building Height:
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OWNER%LESSEE ..:. CONTRACTOR
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Name JBM Properties LLC Name: RODERICK WALLER
Address: 12723 Ashley Falls DR Company: SUNRISE CITY CHDO, INC.
City: San Diego State: CA Address: 130 S. INDIAN RIVER DR. #202
Zip Code: 92130 Fax: City: FORT PIERCE State: FL
j Phone No.201-681-3003 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.
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S,UPPLENIENTAL CONSTRUCTION LIEN LAW fNFORMATION
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 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
Ii 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 OwneV Lessee/Contractor as Agent for Owner Signature of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF ST.JUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 19th day of March 20 20 by this 19th day of March 20 20 by
RODERICK WALLER RODERICK WALLER
Name of person making statement. Name of person making statement.
Personally Known XX OR Produced Identification Personally Known xX OR Produced Identification
Type of Identification Type of Identification
( Produced Produced
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(Signature of otary Public- ti " for a Harris ignature of Notary Public-State of Florida)
My Commission GG 233873
Commission No. r � Iy� 06*W 02° mmission No. My nryisP aicss' �
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE S URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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