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Home My WebLink AboutBUILDING PERMIT APPLICATIONI ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p /� Date: Z- 1 SCANNED Permit Number: BY St. Lucie County *%Q1 - Building Permit Application *W F� — Planning and Development services peryhl 29 L` 10JB Building and Code Regulation Division 5E 4/nm 41 2300 Virginia Avenue, Fort Pierce FL 34982 %C u4��e12 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X ° PERMIT APPLICATION FOR: Alteration I PROPOSED IMPROVEMENT'LOCATION: ` ` I Address: 2001 N 41st ST, Fort Pierce FL Legal Description: 6 35 40 THAT PART OF NE 1/4 OF NE 114 LYG SELY OF N EMERGENCY RELIEF CANAL R/W MPDAF: FROM SE COR OF NE 114 OF NE PropertyTax ID #: 2406-111-0003-000-4 Site Plan Name: Project Name: Roof Construction Setbacks Front Back: Right Side: Left Side: Install Truss over flat roof according to attached plans Lot No. Block No. CON_ STRUCTION'INFORfvIATION: OHVAC O—GasTank Electric 0 Plumbing Total Sq. Ft of Construction: 520 Cost of Construction: $ 4100 lt—check all apply: Piping Shutters ❑ Windows/Doors ors 1:1 Generator 1:1 Roof Roof pitch S . Ft. of First Floor: 2457 Utilities:cnSewer0Septic Building Height: 8 OWNER/LESSEE: `"-4 .., CONTRACTOR:' Name Lawrence C Salter Name: Roderick Waller Address:260 CHAMPAGNE CT Company: Sunrise City CHDO Inc. City: Vero Beach State: FL Zip Code: 32968 Fax: Phone No. Address: 103 S Indian River Drive, suite 202 City: Fort Pierce State: FL Zip Code: 34950 Fax: 772-907-0420 Phone No. 772-201-2850 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: rodwallerl@gmail.com State or County License: CGC1515114 It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SOPPLEMENTAL CONSTRUCTIONmLIEN LAW IN,FORMATI,ON: ; DESIGNER/ENGINEER: Q Not Applicable MORTGAGE COMPANY: Q Not Applicable Name: warns caner Name: Add reSS: 720 S. omnge Blossom Tail, Address: City: Orlando State: FL City: State: Zip:32805 Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Not Applicable I BONDING COMPANY: allot Applicable Name: Address: City: 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contllict 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 commencing work or recording vour Notice of Commencement. Z1 '� L IJ Pig /G Signature of Owner/ Lessee% ontractor as Agent for Owner Signature of Contractor/Liceny Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie County COUNTY OF St Lucie county The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 29th day of March . 2019 by this 29th day of March 20 19 by Roderick Waller Roderick Waller Name of person making statement Name of person making statement Personally Known X OR Produced Identification Personally Known X OR Produced Identification _ Type of Identification Type of Identification Produced Produced &"t o /�,cam LL- &! , (Signature of[Notary Public-Sta a of Florida ) (Signature of Notary Public -State of Florida ) aulFloridaa Commission No. wNofryWI° Commission No. Notary Public4�dFloricia Sophia Hams phia Hams 7, c My Commia.ion GG 238873 'iy Explrea `A '!awdF My Commission GG 238873 l=xpiron05riWo20 tio'� 05I302020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17