HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: 07/07/2021 Permit Number:
RECEIVED
Building Permit Application JUL 0 7 2021
Planning and Development Services
St.Lucie County
Building and Code Regulation Division Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT TYPE: StUCCO
PROPOSED INPR®1/EMENTLOCATION; rah _ Ex
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Address: 2102 N 45th ST Fort Pierce, FL 34954
Property Tax ID#: 1431-802-0007-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Stucco
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D�TAELED DESCRIPTION Q�WORK � �� x � �` � � � �4�
Stucco entire building ever c8s
4 s st a "'" a s _
CONSTRUCTIONINFORMAT ON xF
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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 Pitch
Total Sq. Ft of Construction: 1,190 Sq. Ft.of First Floor: 1,190
Cost of Construction:$ $2,345 Utilities: _Sewer _Septic Building Height. 8
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Name Chequita Jones Name: Roderick Waller
Address:PO Box 2002 Company: Sunrise City C. H. D. O. Inc.
City: Fort Pierce State:_ Address: 130 S. Indian River Dr. #202
Zip Code: 34954 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 E�C�G1298 C(rc j�'I SI 11t
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 CONSTRUCTI'ON, NFORMATION ° s
s� Y
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.
AE'L (N.,
OTC
Signature of 0 t r/Lessee Co ractor Agent for Owner Signature of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF St.Lucie
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this day of 201 by this 7th day of July 20 21 by
v.� Roderick Waller
Name of person making st tement. Name of person making statement.
Personally Known making
Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notar a NIELSEN (Signature o Notary Public-State of Florida j
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1PPY f'UB
`=o State of Florida-Notary Public
Commission No. = Commis• @al GG 207484 05131/2024
( Commission No.
'�9r�OF fIOQ� �Y Commission Expires <Nohry Public Shoe d Ronda
June 12, 2022 gpph4 H8fT1!!
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DATE
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DATE
COMPLETED
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