HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u r
Date: 11/21/2017 Permit Number:
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Building Permit Application NOV 1 201
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 Residents al X
PERMIT APPLICATION FOR: Roof - Yvtie�
=PROPOSED IMPROVEMENT-LOCATI"ON. ` F ' ' r �
Address: 7903 WINTER GARDEN PKWY, Fort Pierce, FL 34946 I
Legal Description: LAKEWOOD PARK-UNIT 5- BLK 49 LOT11 (MAP 13/02S) (OR 11353-19) II
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Property Tax ID#: 1301-605-0243-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Remodel
Setbacks Front Back: Right Side: Left Side:
.DETAILED DESCRIPTIONO F WORK I
Remove Shingles and Replace with Metal L'
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CONSTRUCTIQN INFORMATION
Additional workto b e nertormed un er t is permit—c ec a apply:
❑HVAC E Gas Tank Gas PipingShutters Windows Doors
El ❑ /
Electric ❑ Plumbing Sprinklers Generator Roof
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Total Sq. Ft of Construction: 1632 S . Ft. of First Floor;: 1632
Cost of Construction:$ 7,800.00 Utilities: Sewer❑Septic Building Height:
OWNER/LESSEE .. _ " ' CONTRACTOR''
Name Jenise Stone Name: Roderick Waller
Address:7903 WINTER GARDEN PKWY Company: Sunrise City CHDO, Inc.
City: Fort Pierce State:FL Address: 3550 Okeechobee Rd;l
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.772-332-0907 Zip Code: 34947 Fax: 772-907-0420
E-Mail: Phone No. 772-2011-2850
Fill in fee simple Title Holder on next page(if different E-Mail: rodwallerl @gmail.com
from the Owner listed above) State or County License: CCC1�327208
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW ION I ;rR
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: I _Not Applicable
Name: Name:
Address: Address: II
City: State: City: d State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: I
Address: Address:
City: City: II
Zip: Phone: Zip: Phone:
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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 4ild 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.
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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 anothe j 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 anI attorney before
commencing work or recording our Notice of Commencement.
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- ("J A t,) ck-& a J
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_Signat a of Owner/Les a /Agent Signature of Con racti r/License HolIder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S-� . Ltic \ COUNTY OF_ \::i,c`%-
The fQr oing instrurr�ent was acknowledged before me The forgoing instrument as acknoll ledged before me
this day of A�,,, 20 U.by this aA day of 20 V1 by
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(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Pu ic-State of Florida) (Signature of NotarylPublic-State of Florida)
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Personally Known OR Produced Identification 2.-P@rsonally Known I OR Pr duced Identification
Type of Identification Produced �� ,� s Type of identification Prod
DF�NN N#GG 02202' 11 g�;`, E)EANNATOARIM U�C 022023
Commission No. (ctf?af}ourdlSSlOmbar16,20`t Commission No.� S P( ���IP�fSSION#G 2020
#= EXPIRES:Dece c Uulenv `_l .QO PIRM December 16,
n Iz Pub.. Bonded ThN t10L2ry Pob1{c t3acieM4le^:
eended Th !o n' �•.;ocF,oec Bon '^y
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Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW 'REVIEW REVIEW
DATE u
COMPLETE
INITIALS q
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