HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date Permit Number: C;� It LQ
91T. LUC E
o
r 4 0 JUN 0 4 2021
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
St, Lucia County
Permitting
Residential X
PERMIT APPLICATION FOR: Remodel
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Ft ` $"f;D,.f1111PRCIVEMI
Address: 1702 Juanita Ave Fort Pierce FL 34982
Property Tax ID #: 1433-701-0517-000-2
Site Plan Name:
Project Name: Remodel
Complete Remodel per plans (Install new doors windows, flooring, drywall, and trusses)
New Electrical Meter Second Electrical Meter
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
Total Sq. Ft of Construction: 1210
Cost of Construction: $ 50,000
Sprinklers
Generator Roof
Sq. Ft. of First Floor: 1210
Utilities: —Sewer —Septic Building Height: 10
Pitch
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Name Odette Marseille
Name: Roderick Waller
Company: Sunrise City Concrete Services Inc.
Address:1205 N 27th STApt 59
City: Fort Pierce State: FL
Zip Code: 34947 Fax-
Phone No. 772-971-9760
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 rodwaller1@gmail.com
State or County License CGC1515114
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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DESIGNER/ENGINEER: Q Not Applicable
MORTGAGE COMPANY: ✓[� Not Applicable
Name: Michael Seal
Name: N/A
Address: 800 Delaware Ave
Address:
City: Fort Pierce State: FL
City: State:
Zip: 34950 Phone 772-460-7751
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Z_ Not Applicable
BONDING COMPANY: ELNot Applicable
Name: N/A
Name: N/A
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT' Annliratinn is harahv maria to nhtnin a narmit to ran tha wnrk and installatinn as indirntPd.
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 oLrecorclingyourNotimof Commencement.
Signature of Own ` r/ Lessee/Contractor as Agent for Owner
Signature of Contr #tor/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
Sworn to (or affirmed) and subscribed before, me of
EZI Physical Presence or Online Notarization
[ Physical Presence or Online Notarization
this 4th day of June 2021 by
this 4th day of June , 2021 by
Roderick Waller
Roderick.Waller
Name of person making statement.
Name of person making statement.
Personally Known M✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
((Produced ......
L!?rGGU V L(a
(Signature of NotaryPu c- o I 'Oft
(Signature of Notary P
err Nervy RW�t: a F�aetdr
,�M! Ne�sfy Put�c stM� a Floder.
Commission No. f Ericifl)
Commission No. s �Ca
Ally CetrimirvWw 06 9132M
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REVIEWS
FRONT 7ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE `
MANGROVE'
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20