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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10/29/2020 Permit Number: COUNTY Building Permit Applicati n NOV 0 2 c�Z 0 Planning and Development Services, ST. Lucie County, Permitting 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: Re-Roof= 5 D NP� fNTl T Address: 6036 Alexandria CIR Fort Pierce, FL 34982 Property Tax]D#: 3410-503-0324-000-9 Lot No. Site Plan Name: Block No. Project Name: Re-Roof ® IL�D ©E�SCR�iPTION t�F W©RK: Re-Roof(Tear off old shingles and install new shingles)Tamco FL1960-Underlayment FL 16048 �ON57RUGT(ON lNFORMAT ON: 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: 2475 Sq. Ft.of First Floor: 2475 Cost of Construction:.$ 11,400.00 Utilities: —Sewer —Septic* Building Height: 8 OWNfR LESS E: CONTRAC NO Name Debra A Noyes Name: Roderick Waller Address:6036 Alexandria CIR Company: Sunrise City C. H. D. O. Inc. City: Fort Pierce FL State:_ Address: 130 S. Indian River Dr. #202 Zip Code: 34982 Fax: City: Fort Pierce State: FL Phone No. Zip Code: 34950 Fax: 7729070420 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 CCC1327208 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. 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. Signature of 0 ner/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.Lucie The forgoing instrument was acknowledged'before me The forgoing instrument was acknowledged before me this 29th day of October 20 20 by this 29th day of October 20 20 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 NotaryPublic-State of Florida) (Signature of Notary Public-State of Florida) Commission No. 09/29/2020 Nda(g��gp St�dFkmft Commission No. 09@9@02U (Seal 8$0pp�h fi � OS/31l20m 2d3I J P NOfary Pubdc 5Me d Flonda j t�r1yy C�lerlw F H 0052E3 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA E/l*Q44--11 MANGR E COUNTER REVIEW REVIEW REVIEW REVIE DATE RECEIVED DATE COMPLETED II .Rev.9/26/18