HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO BE ACCEPTED
Date: 11/2/2020 Permit Number:
iMl
Fion
CEIVED
COUNTY
Building Permit Applica o 2 2v2o
Planning and Development Services gCounty, Permittin
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
' ' • '05 D PRO 'HN • T{�}
Address: 161 SE SERENATA CT Fort Pierce; FL 34983
Property Tax ID#: 3419-540-0131-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Re-Roof
► A LED D=�SCRfPT O �F ORK:
Re-Roof(Tear off old shingles and install new shingles)Tamco FL18355-Underlayment FL 16048
CC,@=NR,UICON INFORMATItJ
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers —Generator 21 Roof Pitch
Total Sq. Ft of Construction: 1070 Sq. Ft.of First Floor: 1070
Cost of Construction:$ 8,100.00 Utilities: -Sewer —Septic Building Height: 8
{OWNER/LESS �E: CONTRA TOR:
Name Miriam S Murrell Name: Roderick Waller
Address: 1904 Bermuda CIR Apt D4 Company: Sunrise City C. H. D. O. Inc.
City: Coconut Creek FL State:_ Address: 130 S. Indian River Dr. #202
Zip Code: 33066 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.
C
DESIGNERANGINEER: _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 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 berecorded 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 2nd day of November 20 20 by this 29th day of November 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 Notary Public- Signa�of Notary Public-State of Florida----------------
)
AW%1L Nobly Public State a Fonda
Commission No. tv2rzo2o 8(6pia�Hams ommission No. 11/29/2020
My Cree QW 1r2M OOSZE3 (1 Notary Publ jS *a Randa
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/26/18