HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO /MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: , / Permit NLn
7
� ANNEU KECEIVE
St? 6600minh Building Permit AppllcatiPR -5 2018
Planning and Development Services ng Department
Building and Code Regulation Division cie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial la
PERMIT APPLICATION FOR: Roof I
PROPOSED IM.;ENT LOCATIQN?,'_
Address: 1708 Wyonming Ave Fort Pierce, FL 34982
Legal Description: ORANGE BLOSSOM ESTATES BLK 1
Property Tax ID #: 2421-601-0005-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right S
�D�ETAIL"Eb`DESCRiPTION OF„WQRK
Replace 15sq Shingles 8sq Flat section
(0.21 AC) (OR 3258-2898)
Left Side:
Lot No.
Block No.
CONSTRUCTION;"IN'FORMATION
ler
4.
Ac[Clitional work to ne orme un
tis permit —check
a
apply:
OLHVAC
jee
Gas Tank
Gas Piping
Shutters
a Windows/Doors
_I
Electric El Plumbing
�Sprinkie Is
Generator
W1 Roof 4/12 Roof pitch
Total Sq. Ft of Construction: 1496
S Ft. of First Floor: 1496
Cost of Construction: $ 7500.00
Utilities:cn
I
Sewer F—]
Septic
Building Height:
OWNER/LESSEE: }
CONTRACTOR: .
Name Esperanza Orosco
Name: Roderick Waller
Company: Sunrise City CHDO Inc.
Address: 1708 Wyonming Ave
Address: 3550 Okeechobee Rd
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
City: Fort Pierce State: FL
Phone No. I
Zip Code: 34947 Fax: 772-907-0420
E-Mail: I
Phone No. 772-201-2850
Fill in fee simple Title Holder on next page (if different
E-Mail: rOdwallerl@gmail.com
State or County License: CCC1327208
from the Owner listed above) j
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
4'
DESIGNER/ENGINEER: E- Not Applicable
N am e : Esperanza Orosco
Ad d ress: 1708 Wyonming Ave Fort Pierce, FL 34982
City: Fort Pierce State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: 0 Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Q Not Applicable
Name:
Address: 1708 Wyonming Ave
City: State:
Zip: Phone:
BONDING COMPANY: allot 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 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
commencing work or recording our Notice of Comme
C
Signature of Owner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St Lucie County
The forgoing instrument was acknowledged before me
this 3th day of April 20 18 by
Roderick Waller
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
r
SOPHIA HAR BPa�
310N # F 963
EXPIRES May 30, 2020
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
.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
?ment must be recorded and posted on the jobsite
cing, consult with lender or an attorney before
icement.
J
� ( W Wt,,—
Sign5tu-re of Contract r/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie County
The forgoing instrument was acknowledged before me
this 3th day of April 20 18 by
Roderick Waller
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
ature
F•
Commissio o®r"
MYCOMMISSION # Fp 7s? _ EXPIRES May 30,12,020
SUPERVISREVIEWOR REVIEW I ] PLANSV REVIEW EGETATION I SEA TURTREV EWLE M REVIANGEW