HomeMy WebLinkAboutBuilding PermitOWNER/LESSEE:'
Name crowne St. Lucie Associates LP -- —
Address: 1015 Financial Center
City: Birmingham
35203 State: AL
Zip Code: Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
a pP y_
_ Shutters
- Generator
_1%
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:f�b'r8�
Permit Num
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Building Permit Applicatior
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Renovation
RECEIVED
JAN 16 2019
Permitting Department
Commercial X S u ie County, FL
PROPOSED IMPROVEMENT LOCATION:
-{-o
Address: -$ffii•S. U S HWY 1, PROT ST. LUCIE FL 34982 0 i 3 US
44
Legal Description: ST. LUCIE GARDENS 26, 36, 40 BLK 3 LOTS 12, 13, 14, & 15.
Property Tax ID #: 3414-501-1912-500-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Bats70om Renova5c ns
�,Ivs I RUCTION INFORMATION:
itiona wor to
-HVAC e ier orme un er t is permit — c
Gas Tank
-Gas Piping
Electric Plumbing Sprinklers
Total Sq. Ft of Construction: 6 v`T>
S Ft. of First Floor:
�
Cost of Construction: $ 4, on(�
Utilities:SeweI - Septic
r
AMa,,� e
Lot No.
Block No.
li4
QWindows/Doors
- Roof = Roof pitch
Building Height:
CONTRACTOR:
Name: RODERICK J WALLLER
Company: SUNRISE CITY C. H.D.O. INC.
Address: 130 S INDIAN RIVER DR. #202
City: FORT PIERCE
34950 State: FL
Zip Code: Fax: 772-907-0420
Phone No. 772-201-2850
E-Mail: RODWALLER1@GMAIL.COM
State or County License: CGC1515114/CCC1327208
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
•
•
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: % % Permit Num
Building Permit Applicatiol
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT APPLICATION FOR: Renovation
�. iRo1—Oa��
RECEIVED
JAN 16 2019
Permitting Department
J, jgl ie County, FL
PROPOSED IMPROVEMENT LOCATION:
Address: 8611 S. U S HWY 1, PROT ST. LUCIE FL 34982
Legal Description: ST. LUCIE GARDENS 26, 36, 40 BLK 3 LOTS 12, 13, 14, & 15.
Property Tax ID #: 3414-501-1912-500-6
Site Plan Name:
Project Name: eue S (--
Setbacks Front Back:
Right Side: Let
Lot No.
Block No. 3
DETAILED DESCRIPTION OF WORK:
1571 Bathroom Renovations
Mal 15
CONSTRUCTION INFORMATION:
Additional work to 15—epertormed under this permit — check all apply:
11HVAC LJ Gas Tank Gas Piping _ Shutters Windows/Doors
Electric Plumbing 11 Sprinklers a Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor: _
Cost of Construction: $ 9, �` (� Utilities: L_I Sewer E] Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Crowne St. Lucie Associates LP
Name: RODERICK J WALLLER
Address: 1015 Financial Center
Company: SUNRISE CITY C. H.D.O. INC.
City: Birmingham State: AL
Zip Code: 35203 Fax:
Phone No.
Address: 130 S INDIAN RIVER DR. #202
City: FORT PIERCE State: FL
Zip Code: 34950 Fax: 772-907-0420
Phone No. 772-201-2850
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: RODWALLERI @GMAIL.COM
State or County License: CGC1515114/CCC1327208
it vawe oT construction is >[Suu or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: W ww- - A
Address: 1,56L- L v L, )4- Z C
City: State:
Zip: I�3 Phone 2v3 -Sri
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 130 S INDIAN RIVER DR. #202
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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.
1
Signature o Own r/ Lessee/Contractor as Agent for Owner Signature of Contrac r/License Holder
STATE OF FLO IDA STATE OF FLORIDA
COUNTY OF ST. LUCIE COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15TH day of January 20_ by this 15TH day of January 20_ by
RODERICK J WALLER RODERICK J WALLER
Name of person making sta Name of person making statement
Personally Kn ry c p6wtio Personally Known x OR r I
Type of Identi a Noury PuW�c Type of Identific I
Produced Sophia Ha 238873 YP �r Nq�ry Public SteOe of FbrWe
Produced
VJ
aw
ExW b My Con an GG 238873
4 a� fK 05020
(Signature of Notary Public- State of Florida) (Signature of flotary Public- State of Florida )
Commission No. 05/30/2020 (Seal) Commission No. 05/30/2020 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED II II
DATE
COMPLETED
Rev. 8/2/17