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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR' APPLICATION TO BE ACCEPTED Date: I SCANNED Permit Number: I �_3 j 07 Lf� BY d • ski ?rip Co0w Building Permit Application Remft MAR 26 Planning and Development Services 2019 Building and Code Regulation Division i Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 I ®f, tua @ �POMMent Phone: (772) 462-1553 Fax: (772) 462-i578 Commercial Residential X PERMIT APPLICATION FOR: Roof PROP OS;ED..IMPROVEMENT LOCATION Address: 6110 Deborah WAY, Fort PiercelFL Legal Description: LAKEWOOD PARK -UNIT 5- BLK 52 LOT21 (MAP 13/02S) (OR 4105-2016) I Property Tax ID #: 1301-605-0287-000-91 Lot No. Site Plan Name: 1 Block No. Project Name: Setbacks Front Back: I Right Side: Left Side: I DETAILED DESCRIPTION`'OF UUORIK Tear off 25 sq Shingles and install new roof with Metal 5v CONSTRUCTION INFORMATION itiona work to e nertormed under this permit — c ec E1HVAC Gas Tank Gas Piping a apply: Shutters Q Windows/Doors 11 Electric ❑ Plumbing []Sprinklers _ Generator W1 Roof 4�12 Roof pitch Total Sq. Ft of Construction: 2482 S Ft. of First Floor: 2482 Cost of Construction: $ 8500.00 Utilities: Sewer 11 Septic Building Height: OWNER%LESSEE°" CONTRACTOR Name Michael Zeugner Name: Roderick Waller Address: 1550 Quiescent LN Company: Sunrise City CHDO Inc. City: Sebastian State: F: Zip Code: 32958 Fax: Phone No. Address: 3550 Okeechobee Rd City: Fort Pierce State. FL Zip Code: 34947 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: rodwallerl@gmail.com State or County License: CCC1327208 If value of construction is $2500 or,more, a RECORDED Notice of Commencement is required. i ' eb 0 U�PPLEMENTAL CONSTRUCTION LVEN LAW IN1=0RMATION, a q .: rya �.u��• , DESIGNER/ENGINEER: Q Not AIplicable MORTGAGE COMPANY: Q Not Applicable N am e: Michael Zeugner Name: Address: 1550 Quiescent LN Ad d ress: 6110 Deborah WAY, Fort Pierce FL I City: State: City: Sebastian State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: 0 Not Aplplicable BONDING COMPANY: allot Applicable Name: Name: Address: I Address: City: City: Zip: Phone: I 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 per mit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Bull ding 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 oflCommencement 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 recordinia vour Notice of Commencement. a -A W c�_& Signs ure of Owner/ Les ee Contractor as Agent forlowner I Signature of Contractor icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie County COUNTY OF St Lucie County The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 13th day of March 2018 by this 13th day of March 20 18 by Roderick Waller I Roderick Waller Name of person making statement Name of person making statement Personally Known X OR Produced Identificatioh Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of otary Public- State of Florida) (Signature off of Ic- '. PHIA „ H Commission No. ;}a"�YPL SOP•t�al�ARRIS ; HARRIS Commission N ,' ;mac MY COMMISSION�e1��709$ MY COMMISSION # FF997093 ''•.„tK` EXPIRES May 30, 2020 EXPIRES May 30, 2020 FbritlalloteryServme,cpm REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE i RECEIVED DATE COMPLETED Rev. 8/2/17