HomeMy WebLinkAboutBuilding Permit Application,f
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/16/2020
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
03�Permit Number: r 003 . I
Building Permit Application �,� 100, A.
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Commercial Residential xx--.`a°�-e���F
PERMIT TYPE: Renovation
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Address: 2214 N 45th ST, FORT PIERCE FL
Property Tax ID #: 1431-801-0068-000-0
Site Plan Name:
Project Name: Replacing Permit 1108-0191
Lot No.
Block No.
INTERIOR RENOVATIONS TO EXISTING SINGLE FAMILY RESIDENCE NEW TILE, BATHROOM & KITCHEN REMODEL
TUB, SINKS, CABINETS (NO RELOCATION OF FIXTURES),/CHANGE OUT OF FRONT DOOR ( EXTERIOR), CHANGE OF
DUCTS 3 CHANGE OUT OF WATER HEATER ELECTRICAL WIRE REPLACEMENT CIRCUIT BREAKERS & SOCKETS,
LIGHT SWITCHES & CHANGE OUT OF BLUE BOXES FOR FANS & OUTLETS & STUCCO OUTSIDE OF HOME. SW;njaO S
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
(I Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 708
Cost of Construction: $ 9500.00
Sq. Ft. of First Floor: 708
Utilities: —Sewer _Septic Building Height:
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Name Walker, Vickey
Name: RODERICK WALLER
Company: SUNRISE CITY CHDO, INC.
Address:1104 Hemlock Cir
City: Fort Pierce State: FL
Address: 130 S. INDIAN RIVER DR. #202
Zip Code: 34947 Fax:
City: FORT PIERCE State: FL
Phone No.
Zip Code. 34950 Fax: 772-907-0420
E-Mail:
Phone No 772-201-2850
E-Mail RODWALLER1 @GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CGC1515114
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
ER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
Not Applicable
State:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/C ntractor as Agent for Owner
Signature of Contractor/ icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. JUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 161h day of March 20 20 by
this 16th day of March 20 20 by
RODERICK WALLER
RODERICK WALLER
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known XX OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notaryia a &IR&W@itate of Florida
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(Signatu a of Notary
sty Notary Public State of Florida
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� Sophia Hams
Commission No. ;� Sophia I�P�r�S,
y Com MGM 238873
Commission No. M Commtspi�a p 23 8873
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REVIEWS
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ZONING
SUPERVISOR
PLANS
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MANGROVE
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19