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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/20/2021 Permit Number: a/ ©4 0 6 l (q O S'K LLU, CQE - Lo,_ KW.. Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Re -Roof PROPOSED IMPROVEMENT;LOCATION Re -roof Main, R&R Rood covering with shingles, 3 sq flat deck Modified Bitumen New Electrical Meter Second Electrical Meter CONSTRUCTION I:NFORIVIATION Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator a Roof 3/12 Pitch Total Sq. Ft of Construction: 873 Sq. Ft. of First Floor: Cost of Construction: $ 6,500 Utilities: —Sewer _Septic Building Height: OWIUER/L'ESSEE A; ,CO'NTRA&bkv''AI Name Avant Enterprises Inc Name: Roderick Waller Address: 5722 Place Lake Dr Company: Sunrise City CHDO Inc. City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. Address:130 S Indian River Drive Suite 202 City: Fort Pierce State: FL Zip Code: 34950 Fax: 772-907-0420 Phone No 772-201-2850 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailrodwallorl@gmaii.com State or County License CCC1327208 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. aSUPPLEMENTALCONSTRUCTION UEN,LAW IN'FORMATfO°N DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ✓V Not Applicable Name: N/A Name: N/A Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: ✓ Not Applicable BONDING COMPANY: ✓ Not Applicable Name: N/A Name: N/A 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County 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 your Notice of Commencement. Signature of Contactor/License Holder Signature of Ow er/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie County COUNTY OF St Lucie County Sworn to (or affirmed) and subscribed before me of g Physical Presence or Online Notarization Sworn to (or affirmed) and subscribed before me of 0✓ Physical Presence or _ Online Notarization this 22ncday of April 2021 by this 22ncday of April 2021 by Roderick Waller Roderick Waller 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 Pub l' Notary Public Stem of Florida Commission No. • AEAyIilifafonGG21326o (Signature of.Notary otary Puglia Stem of Fbrid� Commission No. yCoemmisMjOi (W11328QM gExpimsOW1512023 ExpinaOM$12023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.