HomeMy WebLinkAboutBuilding Permit Application I
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 10/4/21 Permit Number: 116- a 165
RECEIVED
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Building Permit Application �St.Lucia Cownty
Planning and Development Services Permitting
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 Detached GarageCk
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s�Z�. - � T °"✓�,� t �. "�e 4. y.�, k�,a�P ?POSED I(1PRC}VEMIT LOCAI'e�{ , r, � jy , ,9
Address: 2410 Royal Palm DR Fort Pierce, FL 34982
Property Tax ID#: 2421-605-0005-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Re-Roof
�Yu f'9 3 �} Perim ReRoof(Remove old shingles and install 5v metal) FL17796 Metal/FL 5259 Underlayment
Detached Garage
New Electrical Meter Second Electrical Meter
COISTRUCTIUN;INFORNtATON , � rf
Additional work to be t—
p p c al erformed under this permit—check I that apply:
pP Y:
_Mechanical _Gas Tank —Gas Piping _Shutters I_Window I/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator W1 Roof 4 Pitch
Total Sq. Ft of Construction: 200 Sq. Ft. of First Floor: 200
Cost of Construction 950.00$ Utilities Sewer _Septic Building Height 10
01NI�ER/LESS Ex { , s CQNTRACTOR�
Name Michael Cooper Name:Roderick Waller
Address:2410 Royal Palm DR Company:Sunrise City CHDO Inc.
City: Fort Pierce State: FL Address:130 S Indian River Drive Suite 202
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34950 Fax: 772-907-0420
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 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.
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��SUPPLENtEN` AI.�CON5TRUCTION�LI�N I.AW INFQRMATI h�t� �, � � � `� �� � ¢ `�
DESIGNER/ENGINEER: Q Not Applicable MORTGAGE COMPANY: ✓[�Not Applicable
Name:N/A Name:N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: 'Phone:
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FEE SIMPLE TITLEHOLDER: ✓ Not Applicable BONDING COMPANY: j ✓allot Applicable
Name:N/A Name:N/A
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 oLrecordingiyobr Notice of Commencement.
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Signature of Own r/Lessee/Contractor as Agent for Owner Signature of Contr ctor/License H Ider
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 Sworn to(or affirmed)and subscribed before me of
EZI Physical Presence or Online Notarization ED Physical Presence or Online Notarization
this 4th day of October 2021 by this 4th day of October 2021 by
Roderick Waller Roderick Waller
Name of person making statement. Name of person masking statement.
Personally Known�_OR Produced Identification Personally Known [Z] OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of N ggubli5Nt I r' (Signature of IVotar' P i - t f F d
Public snb a 1� `� N, ;�spa one,
Commission No rP-1
ric MarreN (Seal Commission No. HaN ea )
y ' GG 9132d9xpirN 09/16F2029
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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