HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE
EEEIINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / r & • % F Permit NO
- q SCANNEO
B6'ifd ri0—dQiit Applicatio
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
PERMIT APPLICATION FOR: Re
Address: 201 ESSEX DR, Fort Pierce FL 11
Legal Description: SHERATON PLAZA UNIT 2 REPLAT LOT99 (OR 881-2116)
Property Tax ID #: 1432-805-0099-000-1
Site Plan Name:
i
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION QF WORK
,., .
Left Side:
l�®,,_/-0 ii
APR - 6 2018
Permitting Department
St. Lucie County, FL
esl entia FT
Lot No.
Block No.
After the fact garage infill with windows (Engineer letter of inspection and structural integrity will be
submitted for final inspection perCIO
�).
14 s `M C ver^A LrVr�v� Spy
CONSTRUCTION INFORMATION
Additionalwork to be nertormed under
this permit — cneck
all
t app y:
�HVAC
Gas Tank;
Gas Piping
_
Shutters
Q Windows/Doors .
Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 1508
of First Floor: 1508
SIn
Cost of Construction: $ 500.00
Utilities.—
Sewer
L—]
Septic
Building Height:
01NNER%L'ESSEE x"
CONTRACTOR :=
Name Davanna Von Lulsdorff
Name: Roderick Waller
Company: Sunrise. City CHDO Inc.
Address: 1209 S Indian River Dr
Address: 3550 Okeechobee Rd
City: Fort Pierce State: FL
City: Fort Pierce State: FL
Zip Code: 34950 Fax:
Phone No. •
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
E-Mail: rodwaller1 @gmail.com
from the Owner listed above)
State or County License: CCC1327208
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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�A►TION
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
a Not Applicable
Name: Davanna Von Lulsdorff
Name:
Address: 201 ESSEX DR, Fort Pierce FL
Address: 1209 S Indian River or
City: Fort Pierce State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: EZI Not Applicable
BONDING COMPANY:
MNot Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application isII 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 pf 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.
i
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording; vour Notice of Commencement.
Signature of
ctor as Agent for
a,
of Contral for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie County 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
Prod
(Signature Qf hletary 126iblic-State Of Glnriria j
RRIS �SOPHIA HA'• •'.4r. /SaaI1
Commissiornplpa�SION 4M47093
'''+os_gk1', EXPIRES May 30, ?020
REVIEWS FRONT I ZONING SUPERVISOR
COUNTER I REVIEW REVIEW
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
Producer!
of Notary Publi
SOPHIA 'IAR13
Commissi
R r ? - My COMMISSION 6'Ff997093
Florida y �,
. om
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
RECEIVED 7/ir/1
DATE
COMPLETED
Rev. 8/2/17 �y