HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (D SLANNLD Permit Number. n
r� BY _
® �4�l1PiP�;fillllf� RECEIVED
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3.
Phone: (772) 462-1553 Fax: (772)
PERMIT APPLICATION FOR:
Address: 3707 Ave Q, Fort Pierce FL
Legal Description: SUNLAND GARDE
Property Tax ID #: 2405-601-0276-000-9
Site Plan Name:
Project Name:
Setbacks Front Back:
JUN 12 2018
LT. Lucie County, Perrnittina
78 Commercial Residential X
BLK 15 LOT 8-LESS N 10 FT- (0.17 AC) (OR 563-2166: 922-1395: 945-1359)
Right Side: Left Side:
Re -Roof Tear off old Flat Roof and install new. FL1654-R22
Lot No.
Block No.
Additional worK to be ertormed
11HVAC Gas Tank
under this permit —check all
[]Gas Piping
rn _
apply:
Shutters
Q Windows/Doors
Electric ❑ Plumbing
Sprinklers
l Generator
W1 Roof 05/12 Roof pitch
Total Sq. Ft of Construction: 2450
S . Ft. of First Floor: 2450
Cost of Construction: $ 1800.00
Utilities:n
Sewer
0
Septic
Building Height:
01NNER/LESSEE`
..ar. .x
CONTRACTOR
.
Name Magalene P James
Name: Roderick Waller
Company: Sunrise City CHDO Inc.
Address: 3707 Avenue Q
City: Fort Pierce State: FL
Address: 3550 Okeechobee Rd
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No.
Zip Code: 34947 Fax: 772-907-0420
Phone No. 772-201-2850
E-Maid:
Fill in fee simple Title Holder on next page (if different
E-Mail: rodwallerl@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.
SUPPLEMENTAL, CONSTRUCTION
LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Q Not Applicable
N am e: Magalene P James
Name:
Address: 3707 Ave Q, Fort Pierce FL
Address: 3707 Avenue Q
City: Fort Pierce State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: El Not Applicable
BONDING COMPANY: allot Applicable
Name:
Name:
Address:
City:
Address:
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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commUcing work or recor4ing your Noti of Commencement.
I, - I n II I A
Signature 6FOwner/
STATE OF FLORIDA
COUNTY OF St Lucie Cou
ntractor as Agent for Owner
The forgoing instrument was acknowledged before me
this 11th day of June 2008 by
Roderick Waller
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
A.
(Signature of NJotary Public- State of Florida
re of ContrIctor/License Holder
STATE OF FLORIDA
COUNTY OF St Lucie c
The forgoing instrument was acknowledged before me
this 11th day of June 20 18 by
Roderick Waller
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produc
2 L
(Signature of Notary Public- State of Florida )
SOPHIA H�"""'"?4
Commission f� ''%: SeR��
_•. - SSION FF9 7093
Commiss o
My
:
SOPHIA HARR�eal )
COMMISSION # FF997093
:�.• • �:
EXPIRES May 30, 2020
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EXPIRES Ma 30, 2020
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REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
L� j
RECEIVED
DATE
COMPLETED
Rev. 8/2/17