HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/19/2017 Permit Number: I I V
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Building Permit Application M4R 0 6 2017
Planning and Development Services � PERff ITTlliG
5t. Lucie Count}•, FL
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: Renovation
PROPOSED IM`PROVEIVIENT LOCATION
Addr
ess:
120 SE SERENATA CT, Port St. Lucie
Legal Description: RIVER PARK-UNIT 5 BLK 47 LOT 14(MAP 34/28N) (OR 3949-1286)
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 DESCRIPTI0U,OF WORK.
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,CONSTRUCTIO.N °INF;ORMATI:ON ;x . F
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Additionalwork to e e orme under this permit—check a apply:
11HVAC E] Gas Tank Gas Piping _Shutters I Windows/Doors
11 Electric 1:1 Plumbing Sprinklers E Generator 1-1 Roof
Total Sq. Ft of Construction: 1760 S Ft. of First Floor: 1760
Cost of Construction:$ -7' D('. 6 0 Utilities:cn Sewer[]Septic Building Height:
7,777-
OWNER/LESSEE CONTRACTOR:
Name Instant Cash for Homes LLC Name: Roderick Waller
Address:3046 Sunrise BLVD Company: Sunrise City CHDO, Inc.
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: rodwaller1@gmail.com ,1
from the Owner listed above) State or County License: CCC1327208 C(_(
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ESIGNER/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
commencin.g work or recprding Vour Notice of Commencement.
s
_Sign lure of Owner/Lessee/ gent Signature of Contractor/Licen Holder
STATE OF FLORID STATE OF FLORIDA�
COUNTY OF - f 11G//r COUNTY OF
The fo.,rgoing instrument wa acknowledged be re me The forgoing instrument was acknowledged before me
this day of 20 fy this day of 20 f�by
I
(Name of person acknowledging , (Name of person acknowledging
(Sign ture of Notary Puublic-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known r/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
I<A R E tJ S. N!E L S E
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Commission No. J r *a"'�e'- OA2EN S. NIELSEN /fj� S�alrmission F FF 1156
oml fission FF 11563 C mission No. _y ._
ay� _- My Commission Expire
oa My Commission Expire %:;Fu`'\°"' June 12, 2018
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE ill J
INITIALS
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