HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONs
ALL APPLICABLE INFO MUST BE COMPLETED
Date:
ON TO BE ACCEPTED 11Q
Permit Number:
1,g,'i018
Building PermMAR it Application pepadment
Planning and Development Services per St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Com I ercial Residential X
PERMIT APPLICATION FOR: Roof I
PROPOSED IIVIFROVEMENT LOCATION
Address: 6803 Sebastian RD, Fort Pierce FL
Legal Description: LAKEWOOD PARK -UNIT 12- BLK 160 LIOT 28 (MAP 13/12S) (OR 469-2638; 4104-2924)
Property Tax ID #: 1301-614-0118-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Silde:
DETAILED .D.ESCR1PTION OF WORK
a.
Remove and Replace 30 sq Shingles to Metal
Left Side:
Lot No._
Block No.
CQNSTRUCTION INFORIVIATIO.N > wK `zx,`„o
7�dditional work to be nej orme
0HVAC L_J Gas Tank
un er t is permit— cec a
[]Gas Piping
app y:
Shutters
a�fn'dows/Doors
_
0 Electric 0 Plumbing
Sprinklers
El Generator
of Roof pitch
Total Sq. Ft of Construction: 1840
S Ft. of First Floor: 1798
Cost of Construction: $ 1950.00
Utilities:
_ Sewer Li Septic
Building Height:
OWNER/LESSEE
CONTRACTOR:
Name James F Shinn I
Name: Roderick Waller
Address: 5807 Eastwood DR
Company: Sunrise City CHDO Inc.
Address: 3550 Okeechobee Rd
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
City: Fort Pierce State. FL
Phone No.
Zip Code: 34947 Fax: 772-907-0420
Phone No. 772-201-2850
E-Mail:
E-Mail: rodwallerl@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CCC1327208
I If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea. I
i
i
f
SIJPPLEpMENGTAL CONSTRUCTION LIEN
LqW INFORMATION:
ir;..'
'jai
, a¢ y f
DESIGNER/ENGINEER: ✓Q Not Applicable
MORTGAGE COMPANY:
Q Not Applicable
N a me: James F Shinn
Name:
Address: 6803 Sebastian RD, Fort Pierce FL
Address: 5807 Eastwood DR
City: Fort Pierce State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: E:1 Not Applicable
BONDING COMPANY:
allot Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 permi
which is in conflict with any applicable Home Owners Association
structure. Please consult with your Home Owners Association ant
In consideration of the granting of this requested permit, I do her
in accordance with the approved plans, the Florida Building Code
The following building permit applications are exempt from uncle
accessory structures, swimming pools, fences, walls, signs, screer
WARNING TO OWNER: Your failure to Record a Notice c
improvements to your property. A Notice of Comment
before the first inspection. If you intend to obtain final
commedcinR work or recording vour Notice of Comme
0 Li
Signature of Owner/ Le ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie (
The forgoing instrument was acknowledged before me
this 13th day of March , 20 18 by
Roderick Waller
Name of person making statement
Personally Known X OR Produced Identification 7 1
Type of Identification
Prod
(Signature of No ary Public- State of Florida ).
SOPHIA HAR"al)
My COMMISSION # FF997093
EXPIRES May 30, 2020
will authorize the permit holder to build the subject structure
-ules, bylaws or and covenants that may restrict or prohibit such
review your deed for any restrictions which may apply.
!by agree that I will, in all respects, perform the work
and St. Lucie County Amendments.
going a full concurrency review: room additions,
rooms and accessory uses to another non-residential use
Commencement may result in your paying twice for
ament must be recorded and posted on the jobsite
cing, consult with lender or an attorney before
icement.
Signature of Contractor/LVense Holder
STATE OF FLORIDA
COUNTY OF St Lucie County
The forgoing instrument was acknowledged before me
this 13th day of March 20 18 by
Roderick Waller
Name of person making statement'
Personally Known X OR Produced Identification
Type of Identification
Produced
(Signature -State of Florida )
!4: SOPHI
Commissio ioMrtmsSIOyA��SI)
~OF,°' EXPIRES May # FF997093
M1
(407) 398.01Ro _. Y 30, 2020
REVIE FRONT ZONING SUPERVISOR, PLANS EGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE l
COMPLETED
Rev. 8/2/17