HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/27/21 Permit Number.
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Building Permit Application RECEIVED
Planning and Development Services APR 2 8 2021
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982 Parmitt;rg impartment
Phone: (772) 462-1553 Fax: (772) 462-1578 st. Lucie Ccu,
PERMIT APPLICATION FOR: Re -Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6605 Salerno RD Fort Pierce, FL 34951
Property Tax ID #: 1301-612-0046-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Re -Roof
DETAILED DESCRIPTION OF WORK: �
ReRoof (Remove old shingles and install shingles) FL10674 Shingles / FL2569 Underlayment
New Electrical Meter Second Electrical Meter
LCONSTRUCTION INFORMATION:
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 Roof 4/12 Pitch
Total Sq. Ft of Construction: 1654 Sq. Ft. of First Floor: 1654
Cost of Construction: $ 8,650.00 Utilities: —Sewer _ Septic Building Height: 8'
OWNER/LESSEE:
CONTRACTOR:
Name Joseph Magnuson
Name: Roderick Waller
Address: 6605 SALERNO RD
Company: Sunrise City CHDO Inc.
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-618-3828
E-Mail:
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
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail rodwallerl@gmail.com
State or County License CCC1327208
it 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.
DESIGNER/ENGINEER: ✓Q Not Applicable
=fit
MORTGAGE COMPANY: ✓( 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 oLrecording your Notice of Commencement.
Signature of Own r/ Lessee/Contractor as Agent for Owner
Signature of Contr ctor/License Holder
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
E Physical Presence or Online Notarization
Sworn to (or affirmed) and subscribed before me of
❑✓ Physical Presence or Online Notarization
this 27th day of April 2021 by
this 27th day of April 2021 by
Roderick Waller
Roderick Waller
Name of person making statement.
Name of person making statement.
Personally Known E— OR Produced Identification
Personally Known _ ✓� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary u ic- State of Florida)
(Signature of Notar Public State of Florida
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