HomeMy WebLinkAboutBuilding permit application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2017 Permit Number:
Building Permit Application
Planning and Development Services JAN 19 2017
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: Roof
PRwOROSED,IIVIPROVEMENT LOCATION`
Address: 120 SE SERENATA CT, Port St. Lucie
Legal Description: RIVER PARK-UNIT 5 BILK 47 LOT 14(MAP 34/28N)(OR 3949-1286)
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Property Tax ID#: 3419-540-0151-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONfiOF`WORK
Re-Roof 2_ 1
CONSTRUCTIAdd
QN IpNFORMATION ' 4;
.-.1fA- =x°e,s`-, sky=� ,.F a •+ „x i [ a ,r�
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itiona wor to e e orme un er t is permit—c ec a apply
�HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing ❑Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 1760 S . Ft. of First Floor: 1760
Cost of Construction:$ Utilities: _Sewer
5600 Septic Building Height:
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OWPNER%LESSEE }' ;7 f QC.OIVTRACTOR *
Name Instant Cash for Homes LLC Name: Roderick Waller
Address:3046 Sunrise BLVD Company: Sunrise City CHDO, Inc. j
City: Fort Pierce State:FL Address: 3550 Okeechobee Rd
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34947 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850
Fill in fee simple Title Holder on next page(if different E-Mail: rodwallerl@gmail.com
from the Owner listed above) State or County License: CCC1327208
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN L'A1N IN6' A"T"ION�°
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:
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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uV `ern � '� :5
_Signature of Own r/Lessee/Agent Signature f ontra for/License Holder I�J
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STATE OF FLORIDA - =o cca STATE OF FLORIDA (�1 a
COUNTY OF COUNTY OF =1"�
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W�w m 659 z
The forgoing inst ent was acknowledge before �X The for oing inst nt was acknowledged before me iz ¢ 2
this day of 20 L` byW o this day of 20 l7 by ¢�X
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(Name of person acknowledging) :, ,;i; ' (Name of person acknowledging)22
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(Signature ofOltary Public-,State of FI ricla V (Signature of Nota�A
ublic State of FI rida)
Personally Known /OR Produced Identification Personally Known _�OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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