The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATION�11 kLL APPLICABLE INFO_ MUST BE COMPLETED FOR APPLICATION TO BE ACCWTED Date: 8/13/18 SSATED Permit Number: A Tos -® 15 IMM W '=RE Building Permit Application Planning and Development ServicesBuilding and Code Regulation Division2300 Virginia Avenue Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential ERMIT APPLICATION FOR: Alteration 'IIdress: G385 Al aid �sxt2 kwW X L gal Description: �Nw" ,«.o ri'fiihl'1 U1,. INfUY J*11Mft AQ -VV0F US.11+Sf10N]M9,.Y IOERDRMVIVW U99t A,WP«IAN'j THATPA;tf*t OtadrXW 190,SCLS�W WO?iC04N.t0S54i70fTNWtFS`+..550FI Nq,yy56lOiY/IC K1Y•.9M/.0 P�loperty Tax ID a: 1405-320-0003-000-0 Lot No. Ste Plan Name: Block No. P1,oject Name: Dixie Hwy S tbacks Front . Buck: Right Side: Left.Side: damaged drywall, new cabinets, flooring, doors, trim and paint A ;oitionai worxto njeriejrtormed underthis permit—checkall :apply: V HVAC I _1 Gas Tank E]Gas Piping _ Shutters ❑ Windows/Doors V Electric 0 Plumbing []'Sprinklers C[Generator [ Roof Roof pitch To FrSq. Ft of Construction:'3697 S . Ft, of First Floor: 3697 CO of Construction: $ 25,000 Utilities:0,Sewer Septic BuildingHeight: 0, .NER/LESSEE1x°Y` ., _ `-~. ..:: , '`�Sx� 1:CONTR�ACiC1R ,.. .a.. Na'i e go.,- go'. MM4 Sc.lr;c. . L��- Name;.. IP- . el Ad Tress: 2Y5r4 Aj A S Company: Wells Brothers Construction Co., Inc. Cit sbo.-t State: PA 7-ip Code: 17110 Fax: Ph IIlsIe No. 772-480-9769 E-Mail. pmiles@paadvisory.com AddressY : OCl c(` t, t�; City. -AA— iA, State: FL Zip Code: 34990 Fax: 772-220-7831 Phone No. 772-220-6001 Fill Iir fee simple Title Holder on next page ( if different E-Mail: rob.m@wellsbrotherscon§truc[ion.net fro the Owner listed above) State or County License: CGC 1506154 IT vane or construction is :�lsuu or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: x Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: X Not Applicable Name: Address: City: Zip: Phone MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: A Not Applicable Name: Address: `City: Zip: Phone:. iWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain 6 permitto do the work and installation as,indicated. certify that no work or installation has commenced prior to the issuance of a permit. Lucie County makes no representation that.is granting a permit; will authorize the permit holder to build the subject structure hich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibitsuch ructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. consideration of the granting of this requested permit, I do hereby agree that I will, in all respects-, perform the work accordance with the approved plans, the.Fiorida Building Codes and StLucie County.Amendments. ie following building.permit applications:are`exempt from undergoing a'full concurrency;review:.room addii(ons, xessary structures, swimming pools, fences, walls, signs,:screen rooms and,accessory uses to another non-residential use 1ARNING TO OWNER: Your failure to Record a Notice;gf Commencement may result in •y r, ayfn twice fq , npeove"ments.to your property. A Notice of Commencement must be recorded and posted'`" thejo fore the first inspection. If you intend to obtain financing; consult,with I aver ran att ey b per. p �mmpnrina wnrk nr rPrnrriina vnnr Mratirp nFr nmmcnramonr i%/ / As Winer/ L' ee/Contractor as Agent for Owner t9vTATE Cont ' etor i e d r SignrEOFFLORIDA lign OF -FM A t rlr�sGjlt '1L�, S' . RUNTY OF f \ COUNTY OF t he forgoing instr entwas .acknowledeed before me is tiay of �I�C r_ 20 by The forgoing instrument was acknowledged before me this PH day of Sy�p �t,v,%•. _ 20./P� by < /f'iic�.c.. / i✓ war, � �e��S Name of person making statement Name of person making statement rsonally Known OR Produced Identification Personally Known_ OR Produced Identification �rpe of Ide t ica n ((r `Si�y�,� Typeof Identification oduced _ Mtt"t b Produced (,i ature of Notary Public- State of Florida j (Signature of,Notary Public -.State q,{ ) ROBERTMOUEi CO WEALTH OF PE C mmission No. 6 * tiN cot�MrsstoN fF ssi o. o3?(PlRES Juw3;2M NOTi4RIALSEA 'f�oFna4 Cd$tel Ortega, Notary BoneeernrvaudgeiNctary5e Public worn awrtsht noun EVIEWS FRONT Z m f�tIA9l�IM -rQtp>21 EGETATION SEA TURTLE MANGROVE COUNTER REVIEW. REVIE REVIEW REVIEW REVIEW D TE ? R CEIVED VOWl DITE C MPLETED Rev.11 /2/17 j ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I 'q Datel Permit Number:/C orn I _. .. __. RECEIVED Building Permit Application Plano g and Development Services AUG 012018 Buildi g and Code Regulation Division Permitting Department 2300 irginia Avenue, Fort Pierce FL 34982 St. Lucie County Phon I: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PER 1T APPLICATION FOR: Renovation Addri Legal 6285 N OLD DIXIE HWY, FORT PIERCE fl cription: SHERATON PLAZA UNIT 2 REPLAT LOT99 (OR 881-2116) Propeirt Tax ID #: 1405-320-0003-000-0 Site Plarli' Name: Project blame: Setback Front Back: _ Right Side: Left Side: Lot No. Block No. Due to ater damage entire house: 1. Install Ceiling and wall insulation 2. Install Drywall ceiling and In walls. 3. stall kitchen cabinets. 4. Install bathroom vanities 5-(� Apo 45tedr-,L-se�m*P- Alc�+ 4 6) No l ),) "b %A00eA AdditionAdditionp.1 work to be —nertormed under this permit — c eck all apply: ❑HV�C Gas Tank Gas Piping ❑ p g — Shutters Windows Doors ❑ / ❑ Electric II ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. 't of Construction: 2,985 Cost of Co1,lnstruction: $ 39 M - 00 Scl. Ft. of First Floor: 2,985 Utilities: Dewer ESeptic Building Height: 01NNER�%LESSEE, y °� '', ;CONTRACTOR . Name Honbr Our Military Servicemen LLC Name: Roderick Waller Address: 2'054 N 2nd ST Company: Sunrise City CHDO Inc. Address: 130 S Indian River Drive City: Harri��burg, State: PA Zip Code: h7110 Fax: City: Fort Pierce State. FL Phone No. �72-480-9769 Zip Code: 34950 Fax: 772-907-0420 E-Mail: �11 Phone No. 772-201-2850 ple Title Holder on next page (if different Fill in fee strier E-Mail: rodwallerl@gmaii.com from the O listed above) State or County License: CGC1515114 If value of cd,ostruction is $2500 or more, a RECORDED Notice of Commencement is required. 1 §. ' OLINE_QN'SP0 "MN',T DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ✓Q Not Applicable Na me: AddLess: Honor Our Military Servicemen LLC 6285 N OLD DIXIE HWY, FORT PIERCE fl Name: Address: 2854 N 2nd ST City:sburg, State: City: State: Zip: Phone I Zip: Phone: FEE �MPLE TITLE HOLDER: 0 Not Applicable BONDING COMPANY: ✓ [Not Applicable Nam Addr� City: : Name: ss: Address: I I City: I'I Phone: 1 Zip: Phone:. Zip: OWI It/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I cert!N, that no work or installation has commenced prior tothe issuance of a permit. St. Lucie' Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is1,in cont ict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structur . Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consi eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accor ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The foll 'wing building permit applications are exempt from undergoing a full concurrency review: room additions, accessostructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARN NG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impro 'ements 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 Comm ncing work or recordir)g your Notice of Commencement. of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/License Holder STAT 1OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie County COUNTY OF St Lucie County The forg.roing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 6WI day of August 20 18 by this 6th day of August 20 18 by Roderick Waller Roderick Waller 11 Name of person making statement Name of person making statement Person Ily Known X OR Produced Identification Personally Known X OR Produced Identification Type o Identification Type of Identification Pro Id Produmd (Signat re of Notary Public- State of Florida) (Signature Notary Public- State of Florida ) Commis i tataOfF"I) Commission �P Sophia Harris �,Ya� � Notary Public Stet® of Fk I;lA My Cog cmi2020 238873 Sophia Harris MY Commiaalo G � a,I!Pir O&W2020 ONI REVIE ONT ZNG SUPERVISOR PLANS GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW Rev. 8/2