HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/31/2020 Permit Number:
COUNTY
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: Re-Roof
PROPOSED INPROVEMENT LOCATION:
Address: 2007 HUGO RD FORT PIERCE, FL 34946
Property Tax ID#: 1428-702-0007-000-1 Lot No.
Site Plan Name: Block No.
Project Name: ReRoof
DETAILED DESCRIPTION OF WORK:
Remove old shingles and install 5v metal/FL17022 - Underlayment FL16048
CONSTRUCTION INFORMATION:
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 4/12 Pitch
Total Sq. Ft of Construction: 1836 Sq. Ft. of First Floor: 1836
Cost of Construction: $ 10,650.00 Utilities: _Sewer _Septic Building Height: 10
OWNER/LESSEE: CONTRACTOR:
Name Wedgewood Rentals LLC Name: Roderick Waller
Address: PO Box 771 Company: Sunrise City CHDO Inc
City: Loxahatche State: FL Address: 130 S Indian River Drive Suite 202
Zip Code: 34987 Fax: _ City: State:
Phone No. Zip Code: Fax:
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
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 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.
A� '� L',)aJJ1-'_ � AIIAI"�
Signature of Owner Lessee/Contractor as Agent for Owner Signature of Cont actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _ COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 31th day of December , 20 20 by this 31th day of December , 20 20 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Publ (Signature of Notary Public-ctgtp%LFlo P.bi.Stat.OIFWida
�1� 1� Notary Public State of Flatda Sophia Hams
Commission No. 12i31ao2o a '� ms Commission No. 12i3�i2o2o E>q �HH 005263
j HH 005263
% Expxes 0513112024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 9 26 18