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HomeMy WebLinkAboutBuilding Permit ApplicationA All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/20/21 Permit Number: c2 i ©- D IO >r ° 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 PRO�POSED�II�IIP�R0�1%EM NET LOCATICIN «� Address: 7507 BANYAN ST Fort Pierce, FL 34951 Property Tax ID #: 1301-601-0154-000-6 Site Plan Name: Project Name: Re -Roof ReRoof (Remove old shingles and install shingles) FL10674 Shingles / FL15216 Underlayment New Electrical Meter Second Electrical Meter (Affidavit required) Lot No. Block No. 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 ✓Z Roof 3/12 Pitch Total Sq. Ft of Construction: 1,028 Sq. Ft. of First Floor: 1,028 Cost of Construction: $ 6,300.00 Utilities: _ Sewer _ Septic Building Height: 10, O:WNE/LES5E"`'CONTRACTOR��`gl .... Name Rey Investment Property LLC Address: 2301 Juanita Ave Name: Roderick Waller Company: Sunrise City CHDO Inc Address: 130 S Indian River Drive Suite 202 City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) City: Fort Pierce State: FL Zip Code: 34950 Fax: 772-967-0420 Phone No 772-201-2850 E-Mail rodwaller1@gmail.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. c Sz�1PPLEMENTAL CQNSTRUCTI10 - LP�1J1l"INFORMATION"' g m y DESIGNER/ENGINEER: LLL Not Applicable pp MORTGAGE COMPANY: � ✓ Not Applicable Name: Name: _ Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: II Not Applicable BONDING COMPANY: JZNot 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 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 attornev before commencing work or recordine vour Notice of Commencement. Signature of Ow er/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF St Lucie Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization this 6th day of October 20 21 by Roderick Waller Name of person making statement. Personally Known X.: OR Produced Identification Type of Identification Produced ` (Signature of Notary Public State of Florida) ' yW Notary Pubic Sltlo d Florida Commission No. (Seal) + Erlc ksmefi j j IAy Conirrt GO ®tom: Eivr" 0101V20b REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev