HomeMy WebLinkAboutappit APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7/15/2019 Permit Number: X\ C_) -1 ` _63a
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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I 5Buildin Permit AppIiatio� h
ST. Lucie County, Pc1r9
mitting
Commercial Residential XXX
PERMIT TYPE: CARPORT
PROPOSEDFIIVIPROVEMENT
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Address: 505 N 39th STREET FORT PIERCE, FL 34947
Property Tax ID #: 2408-222-0004-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED, DESCRIPTION, OF WORKt
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CONSTRUCTION INFORMATION:
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Additional work to be performed under this permit —check all that apply:
' : _Mechanical Gas Tank Gas Piping Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: rr,,
Cost of Construction: $ 'R:7 D D�
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic. Building Height:
OWNER%LESSEE
CONTRACTOR
Name MARK HANDZEL
Name: RODERICK WALLER
Address:505 N 39th STREET
Company: SUNRISE CITY c H D O, INC.
Address: 130 S. INDIAN RIVER DR. #202
City: FORT PIERCE State: _
Zip Code: 34947 Fax:
City: FORT PIERCE State: FL
Phone No.
Zip Code: 34950 Fax: 772-907-0420
E-Mail:
Phone No772-201-2850
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 CGC 1515114
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICIE OF COMMENCEMENT."
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Signature of Owner/ Less a/Contractor as Agent for Owner
Signature of Contra or License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST. LUCIE
COUNTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 15th day of DULY 20_ by
this 15th day of JULY 20_ by
Name of person making statement.
Name of person making statement.
Personally Known x- OR Produced Identification
Personally Known xxx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of N tary P I' .-
(Signature f Nota o F o i a
@%� Notary Public St to of Florida
Commission No. Sophia(k�l®Fxl�
Notary Public Florida
Commission No.
MY Commission GG 238873
iaFdi Expires 051r=2020
y� MyCatmm wio 38873
Expires 05/30/2020
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ev. 217119